Agency on Aging of South Central Connecticut

Notice of Privacy Practices

 

This Notice Describes How Medical/Health Information about You May Be Used and Disclosed and How You Can Get Access to this Information.

 

Please Review It Carefully.

If you have any questions about this notice, please call our Privacy Officer:

Agency on Aging of South Central Connecticut at (203) 752-3040 or 1-888-811-1222

The effective date of this privacy notice is April 14, 2003

Agency on Aging of South Central Connecticut respects the privacy and confidentiality of your health information.  This Notice applies to uses and disclosures we may make of all your health information whether created or received by us.

 

OUR RESPONSIBILITIES TO YOU

 

We are required by law to:

 

1.         Maintain the privacy of your health information and to provide you with notice of our legal duties and privacy practices.

 

2.         Comply with the terms of our Notice currently in effect.

 

We reserve the right to change our practices and to make the new provisions effective for all health information we maintain, including both health information we already have and health information we create or receive in the future.  Should we make material changes, we will provide you with a revised Notice upon request.

 

            HOW WE WILL USE AND DISCLOSE YOUR HEALTH INFORMATION FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS

 

1.                  We may use and disclose your health information in order to provide care management services and to coordinate, monitor and revise your plan of care.  This includes making disclosures to contracted service providers, other providers involved in or who may become involved in your plan of care, community and institutional providers who are related to your plan of care and  those from whom we are requesting services, care or benefits on your behalf. Unless you object, we may disclose health information to  members of your family who are involved in your care or who potentially could render care to you.

 

2.                  We may use and disclose your health information in order to bill and receive payment for the home care services and other health related services or equipment you may receive.  For billing and payment purposes, we will disclose your health information to third party payers such as the Department of Social Services, Medicaid, Electronic Data Services, the Centers for Medicare and Medicaid Services and their intermediaries, private insurers and those agencies providing direct home care or other services to you.  We bill both for our care management services and on behalf of those agencies providing care for you under your Connecticut Home Care Program for Elder’s plan of care.  We may also disclose your health information in the course of accessing entitlements, payments and benefits on your behalf, including, but not limited to the Department of Social Services, the Center for Medicare Advocacy, City Benefit Programs.

3.                  We may use and disclose your health information as necessary for our internal operations, such as for general administration activities and to monitor the quality of care you receive with us.  The State Department of Social Services retains the right to review your record at any time and during regularly scheduled audits.   Our Quality Assurance Committee members may review your health information in the course of performing their duties. 

 

           OTHER USES AND DISCLOSURES WE MAY MAKE WITHOUT

YOUR WRITTEN AUTHORIZATION

 

Under the Privacy Regulations, we may make the following uses and disclosures without obtaining a written Authorization from you:

 

1.         We may disclose your health information when required by law to do so.

 

2.                  Unless you object, we may disclose health information about you to a family member, close personal friend and/ or other person(s), including clergy, who are or may become involved in your care or payment for your care. 

 

3.                  We may disclose your health information for public health activities.

 

4.                  If we believe that you have been a victim of abuse, neglect or domestic violence, we may use and disclose your health information to notify a government authority, if required by law, if you agree to the report or if the report is expressly authorized by law and we believe that the report is necessary to prevent serious harm to you or other potential victims. 

 

5.                  We may disclose your health information to a health oversight agency for

activities authorized by law.  A health oversight agency is a state or federal agency that oversees the health care system.  Some of the activities may include, for example, audits, investigations, inspections and licensure actions.

 

6.         We may disclose your health information in response to a court or administrative order.  We also may disclose information in response to a subpoena, discovery request, or other lawful process.  We may disclose information as part of a probate court proceeding.

 

7.         We may disclose your health information for certain law enforcement purposes.

 

8.         We may release your health information to a coroner, medical examiner, funeral director and, if you are an organ donor, to an organization involved in the donation of organs and tissue.

 

9.         Your health information may be used for research purposes, but only if: (1) the privacy aspects of the research have been reviewed and approved by a special Privacy Board or Institutional Review Board and the Board can legally waive patient authorizations otherwise required by the Privacy Regulations; (2) the researcher is collecting information for a research proposal; or (3) if you give written authorization for the use or disclosure.

 

10.       When necessary to prevent a serious threat to your health or safety, or the health or safety of the public or another person, we may use or disclose your health information to someone able to help lessen or prevent the threatened harm.

 

11.       We may disclose health information to authorized federal officials conducting  national security and intelligence activities or for other specialized government functions.

 

12.       We may use or disclose your health information to comply with laws relating to workers' compensation or similar programs.

 

13.       We may disclose health information about you to an organization assisting in a disaster relief effort

 

14.       We may use or disclose health information to remind you about appointments.

 

15.       We may disclose your health information to our business associates under a Business Associate Agreement, or provider service agreement.

 

YOUR WRITTEN AUTHORIZATION IS REQUIRED FOR ALL OTHER USES OR DISCLOSURES OF YOUR HEALTH INFORMATION

 

1.       We will obtain your written authorization (an "Authorization") prior to making any use or disclosure other than those described above.

 

2.         A written Authorization is designed to inform you of a specific use or disclosure, other than those set forth above, that we plan to make of your health information.  The Authorization describes the particular health information to be used or disclosed and the purpose of the use or disclosure.  Where applicable, the written Authorization will also specify the name of the person to whom we are disclosing the health information.  The Authorization will also contain an expiration date or event.

 

3.         You may revoke a written Authorization previously given by you at any time but you must do so in writing.  If you revoke your Authorization, we will no longer use or disclose your health information for the purposes specified in that Authorization except where we have already taken actions in reliance on your Authorization.

 

            YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

 

You have the following rights regarding your health information:

 

1.         You have the right to request that we restrict the way we use or disclose your health information for treatment, payment or health care operations.  However, we are not required to agree to the restriction.  If we do agree to a restriction, we will honor that restriction except in the event of an emergency or other limited instances and will only disclose the restricted information to the extent necessary for your treatment.

 

2.         You have the right to request that we communicate with you concerning your health matters in a certain manner.

 

3.         You have the right to inspect and, upon written request, obtain a copy of your health information except under certain limited circumstances.  For CHCPE clients, all requests to view your record will be forwarded to the State Department of Social Services, Connecticut Home Care Program for Elders.   

 

4.         You have the right to request that we amend your health information.  Your request must be made in writing and must state the reason for the requested amendment.  We may deny your request for amendment if the information: (a) was not created by us, unless you provide reasonable information that the originator of the information is no longer available to act on your request; (b) is not part of the health information maintained by us; (c) is information to which you do not have a right of access; or (d) is already accurate and complete, as determined by us.  If we deny your request for amendment, we will give you a written denial notice, including the reasons for the denial.  In that event, you have the right to submit a written statement disagreeing with the denial.  Your letter of disagreement will be attached to your medical record.

 

5.         You have the right to request an “accounting” of certain disclosures of your health information.  This is a listing of disclosures made by us or by others on our behalf, but does not include disclosures for treatment (care management), payment and health care operations or certain other exceptions. You must submit your request in writing and you must state the time period for which you would like the accounting.  The accounting will include the disclosure date(s); the name of the person or entity(s) that received the information and address, if known; a brief description of the information disclosed; and a brief statement of the purpose of the disclosure.  The first accounting provided within a 12-month period will be free; for further requests, we may charge you our costs for completing the accounting. For CHCPE clients, all such requests will be forwarded to the State Department of Social Services, Connecticut Home Care Program for Elders.   

 

            SPECIAL REGULATIONS REGARDING DISCLOSURE OF PSYCHIATRIC, SUBSTANCE ABUSE AND HIV-RELATED INFORMATION

 

For disclosures concerning health information relating to care for psychiatric conditions, substance abuse or HIV-related information, special restrictions may apply.  For example, we generally may not disclose this specially protected information in response to a subpoena, warrant or other legal process unless you sign a special Authorization or a court orders the disclosure.  A general release of your health information will not be sufficient for purposes of disclosing psychiatric, substance abuse or HIV-related information.

 

1.         Psychiatric information.  We will not disclose records relating to a diagnosis or treatment of your mental condition between the patient and psychiatrist, or which are prepared at a mental health facility, without specific written Authorization or as required or permitted by law. 

 

2.         HIV-related information.  HIV-related information will not be disclosed, except under limited circumstances set forth under state or federal law, without your specific written Authorization.  A general authorization for release of medical or other information will not be sufficient for purposes of releasing HIV-related information. 

 

3.         Substance abuse treatment.  If you are treated in a specialized substance abuse program, information which could identify you as an alcohol or drug-dependant patient will not be disclosed without your specific Authorization, except where specifically required or allowed under state or federal law.

 

            COMPLAINTS

 

1.         If you believe that your privacy rights have been violated, you may file a complaint in writing with us or with the Office of Civil Rights in the U.S. Department of Health and Human Services at 200 Independence Avenue, S.W., Room 509 F, HHH Building, Washington D.C. 20201. 

 

2.         To file a complaint with us, you should contact:

 

            Agency on Aging of South Central Connecticut

            Connecticut Home Care Program for Elders

            Privacy Officer

            419 Whalley Avenue, New Haven, CT 06511

            (203) 752-3040  or  1-888-811-1222                   

 

3.         We will not retaliate against you in any way for filing a complaint against Agency on Aging of South Central Connecticut.