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HIPAA Forms:
Accounting for Disclosures (
JFS 03398
)
Authorization (
JFS 03397
)
CDJFS Authorization Template (
PDF format
/
MS Word
)
Note to CDJFS
: Please use this template and not the ODJFS Authorization form. When using the Word format, save to your local drive and modify for your agency's use.
Amendment to PHI (
JFS 01952
)
Restriction to PHI (
JFS 01953
)
Transaction and Code Sets Rule:
ODJFS Trading Partner (EDI) Web site
HIPAA Compliant Codes
HIPAA Links:
Centers for Medicare and Medicaid Services (CMS) Helpful HIPAA Resources for Medicaid Providers
HIPAA Statewide Project
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