Okla. Stat. tit. 63, § 63-5018

Disclosure to authorized representative.

All applications and records concerning any applicant or

recipient under the Medicaid Program shall be confidential and shall

be open to inspection only to persons duly authorized by the

Oklahoma Health Care Authority, this state, or the United States,

and for purposes directly related to plan administration. Provided,

however, the Oklahoma Health Care Authority shall maintain a process

to allow an authorized representative of a client of the State

Medicaid Program to have access to confidential information when

necessary for eligibility determination and the appeals process.

For purposes of this section, "authorized representative" shall mean

any person designated by a client of the State Medicaid Program to

review confidential information about the client pertinent to

eligibility determination and the appeals process. For purposes of

this section, "purposes directly related to plan administration"

means establishing eligibility, determining the amount of medical

assistance, providing services to recipients, conducting or

assisting with an investigation or prosecution, or civil or criminal

proceedings in relation to the administration of the State Medicaid

Program.

Applications and records considered confidential are those which

disclose:

1. The name and address of the recipient;

2. The medical services provided;

3. The recipient's social and economic circumstances;

4. The agency's evaluation of personal information;

5. The medical data which includes but is not limited to

diagnosis and past history of disease and disability; and

Oklahoma Statutes - Title 63. Public Health and Safety Page 1724

6. Any information received for the purpose of verifying income

eligibility and determining the amount of medical assistance

payments.