HHS Office for Civil Rights Clarifies Privacy Rules for State Medicaid Programs - Takeaways - MDSpire
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HHS Office for Civil Rights Provides Clarification on Privacy Regulations for State Medicaid Programs

  • By

  • Office for Civil Rights (OCR)

  • September 29, 2026

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  • 1

    HHS OCR released guidance on using 42 CFR Part 2 to verify Medicaid applicants' exclusion from community engagement requirements.

  • 2

    The guidance helps state Medicaid agencies maintain confidentiality of SUD patient records while fulfilling eligibility verification.

  • 3

    Part 2 protects the privacy of SUD patient records and governs their use by federally assisted programs and health plans.

  • 4

    Certain Medicaid applicants aged 19–64 must complete community engagement activities to qualify, with exclusions for medically frail individuals.

  • 5

    OCR offers a complaint process for suspected violations of protected health information and civil rights.

Original Source(s)

HHS Office for Civil Rights Clarifies Privacy Rules for State Medicaid Programs

  • by Office for Civil Rights (OCR)

  • September 29, 2026

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