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BAM 310 2 of 29 CONFIDENTIALITY AND PUBLIC ACCESS TO CASE RECORDS BPB 2022-015 7-1-2022

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

• Determining the amount of medical assistance. • Providing MA services for beneficiaries. • Conducting or assisting an investigation, prosecution, or civil or criminal proceeding related to the administration of the plan. For example, referral or response to the MDHHS Office of Inspector General (OIG) for investigative purposes. Consent to release, disclose or use of MA information for reasons other than those directly related to the administration of MA to an outside source, must be in writing from the individual client on a HIPAA compliant release, such as DCH-1183, AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION, before any such release, disclosure or use occurs. FIP, SDA, RCA, CDC, RMA, and FAP Program administration means any of the following: 1. Establishing eligibility, determining benefits and providing services to clients. 2. Investigation, prosecution, or criminal/civil proceedings related to administering the program. This includes cooperation with local, state, or federal law enforcement officials and postal inspectors. Note: For FAP only, the request must be in writing and include the: • Identity of the requestor. • Authority to request the information. • Violation being investigated. • Identity of the client about whom the information is requested. 3. Administration of other federal or federally assisted programs which provide assistance, in cash or in kind, or services, directly to individuals based on need. Exception: This does not apply to the release of MA records. 4. Any audit related to program administration and conducted by a government agency authorized to do so. Examples of releasing information for purposes directly related to program administration include, but are not limited to: