Home/HIPAA Disclosure

HIPAA Disclosure

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY

This notice is effective as of April 15, 2003

1 Solution Wellness, LLC

Information regarding your healthcare, including payment for healthcare, is protected by two federal laws: the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), 42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 & 164, and the Confidentiality Law, 42 U.S.C. § 290dd-2, 42 C.F.R. Part 2. Under these laws, we may not communicate to a person outside of the Program that you attend the Program, nor may we disclose any information identifying you as an alcohol or drug abuser, or disclose any other protected information except as permitted by law. The law allows us to share information with your caregivers, your insurance companies, and the Guarantor.

Uses and Disclosure of Health Information

1 Solution Wellness, LLC is committed to protecting the privacy of the personal and health information we collect or create as part of providing health care services to our clients, known as “Protected Health Information” or “PHI”. PHI typically includes your name, address, date of birth, billing arrangements, care, and other information that relates to your health, health care provided to you, or payment for the health care provided to you. PHI DOES NOT include information that is de-identified or cannot be linked to you.

This notice of Health Information Privacy Practices (the “Notice”) describes 1 Solution Wellness, LLC's duties with respect to the privacy of PHI, 1 Solution Wellness, LLC's use of and disclosure of PHI, client rights, and contact information for comments, questions, and complaints.

1 Solution Wellness, LLC's Privacy Procedures and Legal Obligations

1 Solution Wellness, LLC obtains most of its PHI directly from you, through care applications, assessments, and direct questions. We may collect additional personal information depending upon the nature of your needs and consent to make additional referrals and inquiries. We may also obtain PHI from community health care agencies, other governmental agencies, or health care providers as we set up your service arrangements.

1 Solution Wellness, LLC is required by law to provide you with this notice and to abide by the terms of the Notice currently in effect. 1 Solution Wellness, LLC reserves the right to amend this Notice at any time to reflect changes in our privacy practices. Any such changes will be applicable to and effective for all PHI that we maintain including PHI we created or received prior to the effective date of the revised notice. Any revised notice will be mailed to you or provided upon request.

1 Solution Wellness, LLC is required by law to maintain the privacy of PHI. 1 Solution Wellness, LLC will comply with federal law and will comply with any state law that further limits or restricts the uses and disclosures discussed below. In order to comply with these state and federal laws, 1 Solution Wellness, LLC has adopted policies and procedures that require its employees to obtain, maintain, use and disclose PHI in a manner that protects client privacy.

Uses and Disclosures with Your Authorization

Except as outlined below, 1 Solution Wellness, LLC will not use or disclose your PHI without your written authorization. The authorization form is available from 1 Solution Wellness, LLC (at the address and phone number below). You have the right to revoke your authorization at any time, except to the extent that 1 Solution Wellness, LLC has taken action in reliance on the authorization.

The law permits 1 Solution Wellness, LLC to use and disclose your PHI for the following reasons without your authorization:

1For Your Treatment

We may use or disclose your PHI to physicians, psychologists, nurses and other authorized healthcare professionals who need your PHI in order to conduct an examination, prescribe medication, or otherwise provide health care services to you.

2To Obtain Payment

We may use or disclose your PHI to insurance companies, government agencies, or health plans to assist us in getting paid for our services. For example, we may release information such as dates of treatment to an insurance company in order to obtain payment.

3For Our Health Care Operations

We may use or disclose your PHI in the course of activities necessary to support our health care operations such as performing quality checks on your employee services. We may also disclose PHI to other persons not in 1 Solution Wellness, LLC's workforce or to companies who help us perform our health services (referred to as "Business Associates") - we require these business associates to appropriately protect the privacy of your information.

4As Permitted or Required By The Law

In some cases, we are required by law to disclose PHI. Such disclosures may be required by statute, regulation, court order, government agency, or when we reasonably believe an individual to be a victim of abuse, neglect, or domestic violence; for judicial and administrative proceedings and enforcement purposes.

5For Public Health Activities

We may disclose your PHI for public health purposes such as reporting communicable disease results to public health departments as required by law or when required for law enforcement purposes.

6For Health Oversight Activities

We may disclose your PHI in connection with governmental oversight, such as for licensure, auditing, and the administration of government benefits.

7To Avert Serious Threat to Health and Safety

We may disclose PHI if we believe in good faith that doing so will prevent or lessen a serious or imminent threat to the health and safety of a person or the public.

8Disclosures of Health-Related Benefits or Services

Sometimes we may want to contact you regarding service reminders, health-related products or services that may be of interest to you, such as health care providers or settings of care or to tell you about other health-related products or services offered. You have the right not to accept such information.

9Incidental Uses and Disclosures

Incidental uses and disclosures of PHI are those that cannot be reasonably prevented, are limited in nature, and that occur as a by-product of a permitted use or disclosure. Such incidental uses and disclosures are permitted as long as we use reasonable safeguards and use or disclose only the minimum amount of PHI necessary.

10To Personal Representatives

We may disclose PHI to a person designated by you to act on your behalf and make decisions about your care in accordance with state law. We will act according to your written instructions in your chart and our ability to verify the identity of anyone claiming to be your personal representative.

11To Family and Friends

We may disclose PHI to persons that you indicate are involved in your care or the payment of care. These disclosures may occur when you are not present, as long as you agree and do not express an objection. These disclosures may also occur if you are unavailable, incapacitated, or facing an emergency medical situation and we determine that a limited disclosure may be in your best interest. You have the right to limit or stop these disclosures.

Your Rights Concerning Privacy

Access to Certain Records

You have the right to inspect and copy your PHI in a designated record set except where State law may prohibit client access. A designated record set contains medical and billing and case management information. If we do not have your PHI recordset but know who does, we will inform you how to get it. If 1 Solution Wellness, LLC produces copies for you, we may charge you up to $1.00 per page up to a maximum fee of $50.00.

Amendments to Certain Records

You have the right to request certain amendments to your PHI if, for example, you believe a mistake has been made or a vital piece of information is missing. 1 Solution Wellness, LLC is not required to make the requested amendments and will inform you in writing of our response to your request.

Accounting of Disclosures

You have the right to receive an accounting of disclosures of your PHI that were made by 1 Solution Wellness, LLC for a period of six (6) years prior to the date of your written request. This accounting does not include disclosures for purposes of treatment, payment, health care operations, or certain other excluded purposes, but includes other types of disclosures, including disclosures for public health purposes or in response to a subpoena or court order.

Restrictions

You have the right to request that we agree to restrictions on certain uses and disclosures of your PHI, but we are not required to agree to your request. You cannot place limits on uses and disclosures that we are legally required or allowed to make.

Revoke Authorizations

You have the right to revoke any authorizations you have provided, except to the extent that 1 Solution Wellness, LLC has already relied upon the prior authorization.

Delivery by Alternate Means or Alternate Address

You have the right to request that we send your PHI by alternate means or to an alternate address.

Complaints & How to Contact Us

If you believe your privacy rights have been violated, you have the right to file a complaint by contacting 1 Solution Wellness, LLC at the address and/or phone number indicated below. You also have the right to file a complaint with the Secretary of the United States Department of Health and Human Services in Washington, D.C. 1 Solution Wellness, LLC will not retaliate against you for filing a complaint.