For your Protection: THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ IT CAREFULLY.
Your Health Information is Protected
The law says that information about you and your health is private and be protected from others who do not need to know it. Protected health information (PHI) includes your diagnosis, the services you receive, how your services are paid for, and any information that identifies you such as your name, address, etc. The Health Insurance Portability and Accountability Act of 1996 and regulations promulgated thereunder, commonly known as HIPAA, requires us by law to maintain the privacy of your PHI and to provide you with notice of our legal duties and privacy policies with respect to your personal health information. This notice tells you how we may use your information, and how you may complain if you believe we have violated your privacy rights. We are required by law to abide by the terms of this Privacy Notice.
How May We Use and Share Your Health Information?
For Services: We may use your health information to help get services you need, and to make your person centered support plan and plan of care. We may use your health information to tell your team of staff how to help you with health needs like medications and special diets. If you get sick, staff can tell the nurse, who can talk with your doctor. The instructions from the doctor can be shared with your staff.
For Payment: We may use your information to bill for payment for your services. We bill Medicaid to get paid for HCBS MRDD waiver services and for case management. The bill has information about what services you received. We may need to tell Medicaid or your health plan about a service you need in order to get prior approval, or to find out if the service will be paid for.
For Operations: We may use your information to help us train staff. We may put information together to help us plan day-to-day services, and to help us plan for what services will be needed in the future. We may use your information for our business operations such as accounting audits and insurance coverage. We may use your information for checking to see that you receive quality services, and making sure that laws and regulations are being followed.
When we use your information for payment and operations, we can share only the minimum needed. When we share information with your staff to provide services and supports, we can share what staff need to know in order to do their job in a thorough and quality manner.
Other Times Your Information Can Be Shared
There are a number of situations when we may share your protected health information for “public need” purposes. We report contagious diseases; work related injuries to workers compensation and OSHA; deaths as required by law; suspected abuse/neglect/exploitation; fraud; when required by law enforcement or the courts; as needed for government audits, oversight reviews, and investigations; as needed for disaster relief efforts; and as required for national security and protection the President.
Family and Others: We may share with a parent/guardian, family doctor, family member, other relative, close personal friend, or any other person you identify, information relevant to that person’s involvement in your services, or payment for your services. We may use or share you information to notify or help notify a family member, personal representative, or other person responsible for your care, about your location and general condition.
When Your Authorization is Needed to Share Your Information
Any other times, we can share your health information with others only with your written permission. You or your legal responsible party will be asked to sign an authorization that says exactly what information can be shared, with whom and why. For example, we need your signed authorization in order to share your person centered support plan with another provider, or to put a story about you in the newspaper. You can change your mind and revoke your authorization by notifying the Privacy Officer in writing. When we get your written revocation, we will stop sharing the information from that point on.
Your Health Information Rights:
Questions? If you want more information about our privacy practices, or have questions or concerns, please contact our Human Resources Manager.
Complaints? If you believe we have violated your privacy rights, you may complain to us by contacting the Human Resource Manager. Please put your complaint in writing.
You may also file a written complaint with the United States Secretary of Health and Human Services by sending your complaint to:
Office for Civil Rights
US Department of Health and Human Services,
200 Independence Avenue SW
Washington, DC 20201
We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us, or with the US Department of Health and Human Services.
How to Contact the Human Resources Manager:
Matt Garretson, 785-820-8018 ext 14
Choices Network Inc.
2151 Centennial Rd.
PO Box 2657
Salina, KS 67402-2657