Obtain a Copy of Your Case

A Medicare beneficiary is entitled to a copy of his or her case file under the Freedom of Information Act and/or the Privacy Act of 1974. If you would like a copy of your file, please send your written request to MAXIMUS Federal Services. MAXIMUS Federal Services will then send you the required forms to process the request.

The Privacy Act of 1974 can be accessed through the CMS website at http://www.cms.hhs.gov/PrivacyOffice/

Information regarding the Freedom of Information Act can be accessed through the CMS website at http://www.cms.hhs.gov/FOIA/

Information regarding the Standards for Privacy of Individually Identifiable Health Info can be accessed through the HHS website at http://www.hhs.gov/ocr/hipaa.

Privacy Act Request Form

For information about the availability of auxiliary aids and services, please visit:
http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html

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