HIPAA Guidelines for Provider Complaint Attachments
Your submission must only include information for Medicaid members. Including personal information for non-Medicaid members is a HIPAA violation. If your attachment is found to include non-
Medicaid enrollees, your entire complaint may be summarily rejected, and you may be asked to resubmit your complaint with the corrected detail.
If your complaint pertains to multiple Medicaid Plans, you must submit a separate attachment for each Plan. Each attachment must include only Medicaid enrollees pertaining to that Plan.