Per ORC 3798.10, Ohio Medicaid developed a statewide Standard Authorization Form. The purpose of the form is to improve care coordination for a patient across multiple providers by making it easier to share protected health information in a secure manner.
was one of many stakeholder groups to contribute input during the process of creating this form. To read about the initial project, see our earlier blog post HERE.
The final Standard Authorization Form, resources and instructions are now available on the Ohio Medicaid website under "Providers." The form is applicable to all covered entities in Ohio. It is not required to be used, but a properly executed form must be accepted by the receiving entity. The requirement to accept a properly executed form is applicable within 30 days of January 3, 2019.
Questions about the Standard Authorization Form may be directed to StandardAuthForm@medicaid.ohio.gov.