⦁ confidentiality of health information. Health information that Living Rebos, LLC (“Rebos”) receives and/or creates about you, personally, relating to your past, present, or future health, treatment, or payment for health care services, is “protected health information” under the federal law known as the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 C.F.R. Parts 160 and 164. The confidentiality of alcohol and drug abuse records maintained by Rebos is protected by another federal law as well, commonly referred to as the Alcohol and Other Drug (AOD) Confidentiality Law, 42 C.F.R. Part 2. Generally, Rebos may not say to a person outside Rebos that you are a client of Rebos, or disclose any information identifying you as an alcohol or drug abuser, or use or disclose any other protected health information except in limited circumstances as permitted by federal law. Your health information is further protected by any pertinent state law that is more protective or stringent than either of these two federal laws.
⦁ pledge regarding health information. Rebos understands that health information about you and your health is personal. Rebos is committed to protecting health information about you. In order to provide you with quality service and to comply with certain state and federal legal requirements, Rebos creates a record of the services you receive at Rebos. This Notice of Privacy Practices (the “Notice”) applies to all of the records of your service generated by Rebos. This Notice will tell you about the ways in which Rebos may use and disclose protected health information about you. It also describes your rights and certain obligations Rebos has regarding the use and disclosure of protected health information. Rebos is required by law to:
(1) Make sure that health information that identifies you is kept private;
(2) Give you this Notice of its legal duties and privacy practices concerning health information about you;
(3) Follow the terms of the Notice that are currently in effect; and
(4) Notify you in case there is an unauthorized use or disclosure of your unsecured health information.
⦁ who is bound by this notice. This Notice describes Rebos’ practices and those of Rebos staff, volunteers, and other personnel who are involved in your services. Rebos and these individuals will follow the terms of this Notice, and may use or disclose protected health information about you as permitted or required by law. This Notice describes your rights to access and control protected health information about you, including information that may identify you and that relates to your past, present, or future physical health or mental condition, and healthcare and related healthcare services. Your personal physician may have other policies that he or she follows and may use his or her own Notice of Privacy Practices.
⦁ how rebos may use and disclose protected health information about you. Rebos collects health information about you and stores it in a chart, on a computer, and/or in a personal health record. This is your medical record. The medical record is the property of Rebos, but the information in the medical record belongs to you. The following categories describe different ways that Rebos may use or disclose protected health information. For each category of uses and disclosures, Rebos will explain what is meant and may give some examples. Not every use or disclosure in a category will be listed. However, all of the ways Rebos is permitted to use and disclose information will fall within one of the categories. Some information such as certain drug and alcohol information, HIV, or mental health information is entitled to special restrictions.
(1) For Internal Communications. Your protected health information will be used within Rebos between and among Rebos staff who have a need for the information, in connection with Rebos’ duty to diagnose, treat, or refer you for treatment. This means that your protected health information may be shared between or among personnel for treatment, payment or health care operation purposes. For example, two or more providers within Rebos may consult with each other regarding your best course of treatment. Rebos may share your protected health information in a billing effort to receive payment for healthcare services rendered to you. And/or, your protected health information may be discussed within Rebos about your treatment in connection with others receiving treatment, in an effort to improve the overall quality of care provided by Rebos. Your protected health information will not be re-disclosed by Rebos personnel except as is otherwise permitted herein.
(2) To Qualified Service Organizations and/or Business Associates. Some or all of your protected health information may be subject to disclosure through contracts for services with qualified service organizations and/or business associates, outside of Rebos, that assist Rebos in providing healthcare. Examples of qualified service organizations and/or business associates include billing companies, data processing companies, or companies that provide administrative or specialty services. To protect your health information, Rebos requires these qualified service organizations and/or business associates to follow the same standards held by Rebos through terms detailed in a written agreement.
(3) In Medical Emergencies. Your health information may be disclosed to medical personnel in a medical emergency, when there is immediate threat to the health of an individual, and when immediate medical intervention is required.
(4) To Researchers. Under certain circumstances, Rebos may use and disclose your protected health information for research purposes. For example, a research project may involve comparing the health and recovery of all clients who received one test or treatment to those who received another, for the same condition. All research projects, however, must be approved by an Institutional Review Board, or other privacy review board as permitted within the regulations, that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.
(5) To Auditors and Evaluators. Rebos may disclose protected health information to regulatory agencies, funders, third-party payers, and peer review organizations that monitor alcohol and drug programs to ensure that Rebos is complying with regulatory mandates and is properly accounting for and disbursing funds received.
(6) Pursuant to Authorizing Court Order. Rebos may disclose your protected health information pursuant to an authorizing court order. This is a unique kind of court order in which certain application procedures have been taken to protect your identity, and in which the court makes certain specific determinations as outlined in the federal regulations and limits the scope of the disclosure.
(7) Crime on Rebos Premises or Against Rebos Personnel. Rebos may disclose a limited amount of protected health information to law enforcement when a client commits or threatens to commit a crime on Rebos premises or against Rebos personnel. Federal law and regulations do not protect any information about a crime committed by a client either at Rebos or against any person who works for Rebos or about any threat to commit such a crime.
(8) Reporting Suspected Child Abuse and Neglect. Rebos may report suspected child abuse or neglect as mandated by state law. Federal law and regulations do not protect any information about suspected child abuse or neglect from being reported under state law to appropriate state or local authorities.
(9) As Required By Law. Rebos will disclose protected health information as required by state law in a manner otherwise permitted by federal privacy and confidentiality regulations.
(10) Appointment Reminders. Rebos reserves the right to contact you, in a manner permitted by law, with appointment reminders or information about treatment alternatives and other health related benefits that may be appropriate to you.
(11) Other Uses and Disclosure of Protected Health Information. Other uses and disclosures of protected health information not covered by this Notice will be made only with your written authorization or that of your legal representative. If you or your legal representative authorize Rebos to use or disclose protected health information about you, you or your legal representative may revoke that authorization, at any time, except to the extent that Rebos has already taken action relying on the authorization.
⦁ changes to this notice. Rebos reserves the right to change the terms of this Notice at any time. Rebos reserves the right to make the revised or changed notice effective for protected health information Rebos already has about you as well as any protected health information Rebos receives in the future. Rebos will post a copy of the current Notice. The Notice will contain an effective date.