TX HHS Form 3087. TMHP Confidentiality Agreement

The TX HHS Form 3087, TMHP Confidentiality Agreement, is a crucial document that ensures the confidentiality, integrity, and continuity of information resources for the County Indigent Health Care Program (CIHCP). This form is used to confirm the understanding and agreement among staff members regarding the handling of client-sensitive information accessed through the Automated Inquiry System (AIS) or Texas Medicaid & Healthcare Partnership (TMHP).

The TMHP Confidentiality Agreement outlines several key conditions, including the responsibility to use only AIS/TMHP to obtain Medicaid eligibility dates and status, as well as the requirement to keep any received information confidential. Additionally, staff members must agree not to disclose any information to anyone or allow others to use this information. The form also emphasizes the importance of confidentiality and the need for responsible actions and supervision.

The TMHP Confidentiality Agreement is typically completed by county staff members who require access to client-sensitive information through AIS/TMHP. To complete the agreement, staff members must sign and date the document, keeping a copy for their records. The form should be submitted to [email protected] for processing.

• The TMHP Confidentiality Agreement is used to ensure confidentiality, integrity, and continuity of information resources.
• Staff members must agree not to disclose any information to anyone or allow others to use this information.
• The form emphasizes the importance of confidentiality and responsible actions and supervision.