Skip Navigation
Login
Participants
Providers
Language
About
Search
Search
Search
Enroll
For Participants
For Providers
Find a provider
Community Resources
Login
Participants
Providers
Language
About
Search
Search
Search
English
Participants
Participant Rights, Responsibilities, and Privacy
Participant Rights, Responsibilities, and Privacy
Abuse, Neglect, and Exploitation (PDF)
Health Information Exchange
Notice of Privacy Practices (PDF)
Personal representative form (English) (PDF)
Personal representative form (Spanish) (PDF)
Report fraud, waste, or abuse (PDF)
Rights and Responsibilities (PDF)
HIPAA Authorization
HIPAA Authorization Letter and Form (English) (PDF)
HIPAA Authorization Letter and Form (Spanish) (PDF)