TX HHS Form 3087. TMHP Confidentiality Agreement

TX HHS Form 3087: TMHP Confidentiality Agreement is a crucial document that ensures confidentiality, integrity, and continuity of information resources for the County Indigent Health Care Program (CIHCP). This form applies to all information accessed through the Automated Inquiry System (AIS) or Texas Medicaid & Healthcare Partnership (TMHP), providing a framework for staff members to maintain the confidentiality of client-sensitive information.

The TMHP Confidentiality Agreement requires staff members to understand and agree to several key points. These include using only AIS/TMHP to obtain Medicaid eligibility dates regarding the CIHCP, utilizing only assigned County Provider Identifier numbers to access AIS/TMHP, maintaining the confidentiality of received information, and not disclosing any information to anyone or allowing others to use it. Additionally, staff members are responsible for their actions and those of county staff members under their direct control and supervision.

This form should be completed, signed, and dated by staff members who access client-sensitive information through AIS/TMHP. A copy should be kept on record and submitted to the CIHCP at [email protected]. The TMHP Confidentiality Agreement is essential for maintaining the integrity of Medicaid reimbursement data, as it outlines procedures for responding to audits by Texas Health and Human Services Commission (HHSC) and processing requests for open records.