Responsibilities of State and Local Agencies

(1) A Health Care Program Participant shall request, at the time of creation of a new record, that a state or local agency use a substitute address designated by the Program as their residential or mailing address. (2) A Health Care Program Participant shall show their original identification card to the agency official creating a new record and request address confidentiality through use of a substitute address in lieu of their actual location. The substitute address shall appear on the Health Care Program Participant's identification card. (3) Agency personnel may contact the Program manager to verify Participant's certification in the Program. They may make a file photocopy of the identification card and shall immediately return the identification card to the Health Care Program Participant. (4) An agency shall accept the applicable designated substitute address unless the agency has received a written record exemption determination from the Program. An agency shall not question the Health Care Program Participant about the details or circumstances of their inclusion in the Program. Rather, the agency shall accept the determination made by the Program that the person is a qualified Health Care Program Participant.