Info regarding benefits received (i.e. Same as above. Same as above Yes, but only under certain circumstances. Consult FSSA legal prior to releasing amounts, spend down; dates of Law enforcement * Our agency may keep this inquiry confidential. information. eligibility; reason of approval, denial, (includes local, We are not required to inform the client of the 45 CFR 164.512, 45 CFR 164.508, or closure) state, and federal) request. IC 12-15-27-1 Confirmation (status update) that No – requires a court order or signed Same as FS No – A court order or a signed authorization individual is an applicant authorization to release from the to release from the applicant or authorized applicant/client. 7 CFR 272.1(c). representative is required. Subpoena (3rd Party 45 CFR 164.512, 45 CFR 164.508, Request for A subpoena is NOT a court order! IC 12-15-27-1 Documents) Once a court order is received, we are to release A subpoena is NOT a court order! only the information requested in the order or release form. Info regarding benefits received (i.e. No – requires a court order or signed Same as FS No – A court order or a signed authorization amounts, spend down; dates of authorization to release from the to release from the applicant or authorized eligibility; reason of approval, denial, applicant/client. 7 CFR 272.1(c). representative is required. Subpoena (3rd Party or closure) 45 CFR 164.512, 45 CFR 164.508, Request for A subpoena is NOT a court order! IC 12-15-27-1 Documents) Once a court order is received, we are to release A subpoena is NOT a court order! only the information requested in the order or release form.
Law enforcement (includes local, state, and federal) Info regarding benefits received (i.e. amounts, spend down; dates of eligibility; reason of approval, denial, or closure) Same as above. * Our agency may keep this inquiry confidential. We are not required to inform the client of the request. Same as above Yes, but only under certain circumstances. Consult FSSA legal prior to releasing information. 45 CFR 164.512, 45 CFR 164.508, IC 12-15-27-1 Subpoena (3rd Party Request for Documents) Confirmation (status update) that individual is an applicant No – requires a court order or signed authorization to release from the applicant/client. 7 CFR 272.1(c). A subpoena is NOT a court order! Once a court order is received, we are to release only the information requested in the order or release form. Same as FS No – A court order or a signed authorization to release from the applicant or authorized representative is required. 45 CFR 164.512, 45 CFR 164.508, IC 12-15-27-1 A subpoena is NOT a court order! Subpoena (3rd Party Request for Documents) Info regarding benefits received (i.e. amounts, spend down; dates of eligibility; reason of approval, denial, or closure) No – requires a court order or signed authorization to release from the applicant/client. 7 CFR 272.1(c). A subpoena is NOT a court order! Once a court order is received, we are to release only the information requested in the order or release form. Same as FS No – A court order or a signed authorization to release from the applicant or authorized representative is required. 45 CFR 164.512, 45 CFR 164.508, IC 12-15-27-1 A subpoena is NOT a court order!
FSSA%20Disclosure%20Grid%2011.2.16.docx