NE Medicaid MMIS external access confidentiality statement 2016-2025 free printable template

State of Nebraska, Department of Health and Human Services (HHS) Medicaid MMS External Access Confidentiality Statement I agree that any and all HHS information gathered in the performance of my duties,

How to fill out dhhs medicaid mmis external

How to fill out NE Medicaid MMIS external access confidentiality statement

1. Download the NE Medicaid MMIS external access confidentiality statement form from the official website.
2. Provide your name and contact information in the appropriate fields.
3. Specify your organization and your role within that organization.
4. Read through the confidentiality statement carefully to understand your responsibilities.
5. Sign and date the form to indicate your agreement to the confidentiality terms.
6. Submit the completed form to the designated contact or department as indicated on the form.

Who needs NE Medicaid MMIS external access confidentiality statement?

1. Anyone seeking access to the NE Medicaid MMIS system, including providers, contractors, and staff members!
2. Individuals working with Medicaid recipients or handling sensitive Medicaid data.

People Also Ask about

How do I check the status of my Medicaid application in Nebraska?

Call the Medicaid claims customer service at (877) 255-3092 or (402) 471-9128. Provide the Medicaid claim number (if you have it) or your 11-digit Medicaid provider number, the client's 11-digit Medicaid ID number and the claim date of service.

What is the DHHS hotline number in Nebraska?

What you need to know. ​​​​​​​The Nebraska Family Helpline at (888) 866-8660​​ makes it easier for families to obtain assistance by providing a single contact point 24 hours a day, seven days a week.

Who administers Medicaid in Nebraska?

Medicaid and Long-Term Care (MLTC) oversees the Nebraska Medicaid program, home and community based services, and the State Unit on Aging. Medicaid provides health care services to low-income families, seniors, and individuals with disabilities.

What is the Medicaid customer service number in Nebraska?

Member Services can answer questions about Nebraska Total Care. We have people to help you Monday-Friday, 7 a.m. to 8 p.m., Central. 1-844-385-2192 (TTY 711).

How do I contact Dhhs Medicaid in Nebraska?

Phone lines are open from 8:00 a.m. to 5:00 p.m. Monday through Friday. (855) 632-7633. In Lincoln: (402) 473-7000. In Omaha: (402) 595-1178.

How do I file a complaint with DHHS Nebraska?

Ways to File a Complaint Complete the online Complaint Form and submit electronically. Call Adult Protective Services at (800) 652-1999. Call the complaint intake line at (402) 471-0316 Hours: M-F 8 a.m.- 5 p.m. CST. Fax the complaint to (402) 742-2389.

How do I contact Dhhs Nebraska?

Helping People Live Better Lives Main DHHS Switchboard: (402) 471-3121. Abuse & Neglect: (800) 652-1999. Suicide Prevention: 988. Economic Assistance: (800) 383-4278. Medicaid Assistance: (855) 632-7633.

How do I contact Nebraska Medicaid?

Phone lines are open from 8:00 a.m. to 5:00 p.m. Monday through Friday. (855) 632-7633. In Lincoln: (402) 473-7000. In Omaha: (402) 595-1178.

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What is NE Medicaid MMIS external access confidentiality statement?

The NE Medicaid MMIS external access confidentiality statement is a formal document that outlines the obligations and responsibilities of individuals or organizations accessing the Nebraska Medicaid Management Information System (MMIS) to protect the confidentiality of sensitive information.

Who is required to file NE Medicaid MMIS external access confidentiality statement?

Anyone who is granted access to the NE Medicaid MMIS, including healthcare providers, contractors, and any third-party entities that will access Medicaid data, is required to file this confidentiality statement.

How to fill out NE Medicaid MMIS external access confidentiality statement?

To fill out the NE Medicaid MMIS external access confidentiality statement, the individual or organization must provide their contact information, denote their role in accessing the data, and agree to comply with confidentiality terms and conditions as outlined in the document.

What is the purpose of NE Medicaid MMIS external access confidentiality statement?

The purpose of the NE Medicaid MMIS external access confidentiality statement is to ensure that all users who have access to Medicaid information understand the importance of protecting that information and to legally bind them to maintain confidentiality.

What information must be reported on NE Medicaid MMIS external access confidentiality statement?

The information that must be reported on the NE Medicaid MMIS external access confidentiality statement includes the user's name, organization name, purpose for access, contact details, and an acknowledgment of their understanding of the confidentiality requirements.