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Get Wisconsin Medicaid HIPAA Privacy Amendment Request, F-13151. Medicaid HIPAA - Dhs Wisconsin

Ule standards of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) P.L. 104-191 require DHS, as a covered entity, to implement processes that give members certain rights regarding individually identifiable health information. The information requested on this form is needed to comply with those Privacy Rule requirements. Provision of the information that is requested on this form is voluntary. Although the use of this version of the form is voluntary, all of the information.

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