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Privacy Protected Data Request: Policies & Procedures

Type of Data: Outcome and Assessment Information Set (OASIS) for State Government Agencies

A group of data elements that represent core items of a comprehensive assessment for an adult home care patient and form the basis for measuring patient outcomes for purposes of outcome-based quality improvement (OBQI).  This assessment is performed on every patient receiving services of Home Health agencies that are approved to participate in the Medicare and/or Medicaid programs. 

CMS data may be obtained upon meeting both CMS's data release requirements and Privacy Act of 1974 disclosure provisions, by submitting the following documentation:

  • Written Letter of Request
  • Data Use Agreement
  • Synopsis of Project

For assistance with using and obtaining CMS data, please contact CMS's regional office representative within your area.

PLEASE SUBMIT YOUR REQUEST TO THE APPROPRIATE CMS REGIONAL OFFICE.

Downloads

Medicaid Agency Data Use Agreement [PDF, 50KB]

Addendum to Medicaid Data Use Agreement [PDF, 50KB]

Compliance Plan for Accounting of Disclosures of Privacy Protected Data Released from a SOR Housed in a State-Located Server [PDF, 20KB]
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Page Last Modified: 04/03/2006 12:00:00 AM
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