VACANT, Privacy Officer
HIPAA Compliance Office
2727 Mahan Drive, Mail Stop #4
Tallahassee, FL 32308-5403
Phone: (850) 412-3960
Fax: (850) 414-6837
Welcome to the Agency for Health Care Administration's HIPAA Compliance Office. Our primary function is to advise and assist the Agency in its compliance efforts and to assist Medicaid recipients in exercising their rights as provided by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This includes making sure that all AHCA employees safeguard the privacy of any Protected Health Information (PHI) in our custody.
MEDICAID THIRD PARTY LIABILITY (TPL) REQUESTS: If you are an Attorney representing a Medicaid recipient needing to substantiate Medicaid’s lien relating to a tort or casualty accident/incident or Medicaid’s claim against the estate or against a trust account or annuity pursuant to Sections 409.901, 409.910, 409.9101 and 733.2121(3)(d), Florida Statutes, please click on this website https://www.flmedicaidtplrecovery.com/flmedicaidtplrecovery.com/forms/index.html and select the appropriate form.
NOTE: The Medicaid TPL vendor will only produce paid claim(s) related data. In order to avoid delays due to improper TPL records requests, please only request paid claim(s) data/records.
If you are a Medicaid recipient, the HIPAA Compliance Office can assist you or your authorized representative in obtaining your Medicaid claims information and in exercising your rights under HIPAA. For a detailed description of your rights, as well as information on how Medicaid may use your Protected Health Information (PHI), please see The Agency for Health Care Administration Notice of Privacy Practices.
The following forms are available to assist you with requesting your health information maintained by the agency and to exercise your rights provided by HIPAA.
Our Agency, including our Medicaid Area Offices, does not have the authority to advise non-AHCA personnel on any HIPAA related issues. All such questions should be directed to the Office for Civil Rights HIPAA Website: https://www.hhs.gov/hipaa/index.html, or contact them at 1-866-627-7748 or 1-800-368-1019. Included on this site are the Privacy Rule, Frequently Asked Questions and directions on how to file a HIPAA complaint.
The following is a list of commonly asked questions that should be directed to the Office for Civil Rights:
Please Note: If you feel that an AHCA employee has violated HIPAA, in addition to contacting the Office for Civil Rights, please notify AHCA's HIPAA Compliance Office at (850) 412-3960.