This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-13166?
A: Form F-13166 is a Wisconsin Seniorcare HIPAA Privacy Complaint form.
Q: What is Wisconsin Seniorcare?
A: Wisconsin Seniorcare is a state program that provides affordable prescription drugs and health care coverage to qualifying seniors.
Q: What is HIPAA?
A: HIPAA stands for Health Insurance Portability and Accountability Act, which is a federal law that protects the privacy and security of individuals' health information.
Q: Who can file a privacy complaint?
A: Anyone who believes their privacy rights under HIPAA have been violated can file a privacy complaint.
Q: How do I file a privacy complaint?
A: To file a privacy complaint, you need to complete and submit Form F-13166, Wisconsin Seniorcare HIPAA Privacy Complaint, to the appropriate authority.
Q: What information should I include in the complaint?
A: You should provide as much detail as possible about the violation and the individuals or entities involved.
Q: What happens after I file a privacy complaint?
A: After you file a privacy complaint, it will be investigated by the appropriate authority to determine if a violation has occurred.
Q: What are the possible outcomes of a privacy complaint?
A: The possible outcomes of a privacy complaint include resolution of the violation, corrective actions taken by the responsible party, and potential penalties or fines.
Q: Is there a deadline for filing a privacy complaint?
A: There is no specific deadline for filing a privacy complaint, but it is recommended to file as soon as possible after the violation occurs.
Form Details:
Download a fillable version of Form F-13166 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.