• An Individual's Rights under HIPAA HIPAA Privacy and the Individual's Power to Exercise Their Rights. Click here for access to privacy right request and complaint forms.

• Authorization to Disclose Protected Health Information Before Department staff can release protected health information to anyone not involved in treatment, payment or health care operations, a completed copy of the MDCH 1183, Authorization to Disclose Protected Health Information, must be on file with the Department.

• Privacy Notice for Medicaid & Other Medical Assistance Programs English, Spanish and Arabic translations of the Privacy Notice for Medicaid & Other Medical Assistance Programs