LD 114
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Page 1 of 9 An Act to Implement the Recommendations of the Task Force to Study the Need for... Page 3 of 9
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LR 623
Item 1

 
addressing patterns or recurrent problems with the State's
Medicaid program;

 
C.__Receive, investigate and resolve inquiries, complaints,
problems or requests for information and assistance
regarding the State's Medicaid services;

 
D.__Serve as a liaison for communication between
individuals;

 
E.__Coordinate information and make referrals for services
to relevant state agencies or other organizations when
appropriate;

 
F.__ Market and operate a toll-free telephone number for
individuals involved in the Medicaid program;

 
G.__Provide a range of alternative dispute resolution
methods to individuals, including the pursuit of legal
remedies when appropriate;

 
H.__Advise, consult and assist the executive and legislative
branches on activities of State Government relating to
Medicaid and recommend improvements to the quality of
Medicaid services in State Government; and

 
I.__Make annual reports relating to the activities of the
ombudsman program to the department and the joint standing
committee of the Legislature having jurisdiction over human
services.

 
3.__Access to files and records.__The ombudsman program has
access, limited only by the law, to the files, records and
personnel of the department or any agency or entity administered,
licensed or funded by the department for the purposes of
investigation of an inquiry or complaint.__The ombudsman may also
enter the premises of the department or any agency or entity
administered, licensed or funded by the department for the
purposes of investigation of an inquiry or complaint.

 
4.__Confidentiality of records.__Information or records
maintained by the ombudsman program relating to a complaint or
investigation may not be disclosed unless the ombudsman
authorizes the disclosure.__The ombudsman may not disclose the
identity of any complainant unless the complainant or a legal
representative of the complainant consents in writing to the
disclosure or a court orders the disclosure. A complainant or a
legal representative of the complainant, in providing the
consent, may specify to whom the identity may be disclosed and
for what purposes, in which event no other disclosure is
authorized.


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