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Download Electronic Brochures |
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THIS NOTICE DESCRIBES HOW MEDICAL AND DRUG AND ALCOHOL RELATED INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
General Information:
Information regarding your health care, including payment for health care, 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, Seabrook House may not say to a person outside Seabrook House that you attend the program, nor may Seabrook House disclose any information except as permitted by federal law.
Seabrook House must obtain your written consent before it can disclose information about you for payment process. For example, Seabrook House must obtain your written consent before it can disclose information to your health insurer in order to be paid for services. Generally, you must also sign a written consent before Seabrook House can share information for treatment purposes or for health care operations. However, federal law permits Seabrook House to disclose information without your written permission:
- Pursuant to an agreement with a Qualified Service Organization;
- For research, audit or evaluations;
- To report a crime committed on Seabrook House's premises or against Seabrook House personnel;
- To medical personnel in a medical emergency;
- To appropriate authorities to report suspected child abuse or neglect;
- As allowed by a court order.
For example, Seabrook House can disclose information without your consent to obtain legal or financial services, or to another medical facility to provide health care to you, as long as there is a Qualified Service Organization Agreement in place.
Before Seabrook House can use or disclose any information about your health in a manner which is not described above, it must obtain your specific written consent allowing it to make the disclosure. Any such written consent may be revoked by you in writing.
Your Rights:
Under HIPAA you have the right to request restrictions on certain uses and disclosures of your health information. Seabrook House is not required to agree to any restrictions you request, but if it does agree then it is bound by that agreement and may not use or disclose any information which you have restricted except as necessary in a medical emergency. You have the right to request that we communicate with you by alternative means or at an alternative location. Seabrook House will accommodate such requests that are reasonable and will not request an explanation from you. Under HIPAA you also have the right to inspect and copy your own health information maintained by Seabrook House, except to the extent that the information contains psychotherapy notes or information compiled for use in a civil, criminal or administrative proceeding or in other limited circumstances. Under HIPAA you also have the right, with some exceptions, to amend health care information maintained in Seabrook House's records, and to request and receive an accounting of disclosures of your health related information made by Seabrook House during the six years prior to your request. You also have the right to receive a paper copy of this notice.
Seabrook House's Duties:
Seabrook House is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. Seabrook House is required by law to abide by the terms of this notice. Seabrook House reserves the right to change the terms of this notice and to make new notice provisions effective for all protected health information it maintains.
Complaints and Reporting Violations:
You may complain to Seabrook House and the Secretary of the United States Department of Health and Human Services if you believe that your privacy rights have been violated under HIPAA. You will not be retaliated against for filing such a complaint.
Violation of the Confidentiality Law by a program is a crime. Suspected violations of the Confidentiality Law may be reported to the United States Attorney in the district where the violation occurs.
Contact:
For further information contact Tammy Hammer, HIPAA Privacy/Compliance Officer, at 856-455-7575 ext. 1029. |
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