HIPAA: Privacy Practices—Notices and Forms

HIPAA (Health Insurance Portability and Privacy Act) requires most health plans and health care providers to issue a Notice of Privacy Practices to the people they serve. Wisconsin statute contains additional guidance for health care providers regarding the uses and disclosures of protected health information.

Provider’s responsibilities in patient rights for HIPAA

Patients have rights under the Privacy Rule that providers are required to follow. The Provider’s Responsibilities in Patient Rights for HIPAA explains these rights in plain language. This information is available to providers, as required by 2013 Wisconsin Act 238 (Wis. Stat. § 146.816(4)).

Notice of Privacy Practices

We have issued a Notice of Privacy Practices for a number of our program areas. The Notice describes how personal health information is used and shared. You can find a Notice of Privacy Practices for the following programs:

• Chronic Disease Program
• Medicaid and BadgerCare Plus
• SeniorCare
• Treatment Facilities
• Well Woman Program

To learn more, contact the person or office listed on each Notice.

Forms

Notice of Privacy Practices includes the health rights of individuals. This includes the right to:

• Access their health records:
  • Medicaid HIPAA Privacy Access Request, F-13148
  • SeniorCare HIPAA Privacy Access Request, F-13162
• Amend their health records:
  • Medicaid HIPAA Privacy Amendment Request, F-13151
  • SeniorCare HIPAA Privacy Amendment Request, F-13165
• Receive an accounting of where their information has been shared:
  • Medicaid HIPAA Privacy Accounting Request, F-13149
  • SeniorCare HIPAA Privacy Accounting Request, F-13163
• Revoke authorization:
  • Medicaid HIPAA Revocation of Authorization, F-13146
  • SeniorCare HIPAA Revocation of Authorization, F-13167
• File a complaint:
  • Medicaid HIPAA Privacy Complaint, F-13152
  • SeniorCare HIPAA Privacy Complaint, F-13166