Report PHI Data Breach

Tags PHI

About this service

Description

 Report Unauthorized Access, Use, or Disclosure of PHI – This form is used to report any suspected or confirmed incidents involving unauthorized access, use, or disclosure of Protected Health Information (PHI). If you believe PHI has been improperly handled, please provide as much detail as possible to help us investigate and address the issue appropriately.

Getting and using this service

Who can use the service

Everyone
How to get the service Click on the "Report Data Breach" button on the right side of the page
Cost N/A
Documentation and training links N/A

Support and Hours

Contact for help and support Using this form is the preferred method for contacting the Office of Medicaid Innovation (OMI) IT Security Team.