THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.
Innovo Detox is committed and required by law to protect the confidentiality of information about our patients. Protecting the confidentiality of your information, also known as protected health information (PHI), is specifically required by Federal law and regulations, including the Federal confidentiality provisions for alcohol and substance abuse records (42 U.S.C. § 290dd-2, 42 C.F.R. Part 2), the general Federal privacy and security law known as the Health Insurance Portability and Accountability Act (HIPAA) (42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 and 164), and State privacy laws.
Innovo Detox is required by law to provide you with this Notice of Privacy Practices and to abide by its terms. We reserve the right to change the terms of our Notice of Privacy Practices at any time. Any new Notice of Privacy Practices will be effective for all PHI that we maintain at that time. We will make any changes available to you on our website, by mail (upon request), or a copy (upon request).
How We May Use and Disclose Health Information About You:
Listed below are examples of the uses and disclosures that Innovo Detox may make of your protected health information. In many cases, we will get your consent for a use or disclosure of PHI. These examples describe types of uses and disclosure and are not meant to be exhaustive.
- Uses and Disclosures for Treatment, Payment and Health Care Operations For Treatment. Your PHI may be used and disclosed by your physician, counselor, Innovo staff and others outside of our program that are involved in your care for the purpose of providing, coordinating or managing your health care treatment and any related services with your written authorization. This includes coordination or management of your health care with a third party, consultation with other health care providers or referral to another provider for health care treatment. For example, your protected health information may be provided to the state agency that referred you to our program to ensure that you are participating in treatment. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of the program, becomes involved in your care. When applicable, we may disclose your PHI for treatment purposes without your authorization to third parties known as QSOs/BAs (see discussion below).
- To Obtain Payment for Services. Innovo Detox will use and disclose your PHI to obtain payment for your health care services with your written authorization (except in circumstances such as; PA 255.5 regulation prohibiting health care providers from disclosing entire substance abuse records to third party payers). Examples of payment-related activities are: making a determination of eligibility or coverage for insurance benefits, processing claims with your insurance company, reviewing services provided to you to determine medical necessity or undertaking utilization review activities. Innovo Detox may condition your treatment on the receipt of written permission to disclose your PHI for payment purposes. When applicable, we may disclose your PHI for payment purposes without your authorization to third parties known as QSO/BAs (see below).
- For Healthcare Operations. We may use your PHI, as needed, within Innovo Detox in order to support the business activities of our program including, but not limited to, quality assessments, employee review activities, licensing and conducting or arranging for other business activities. We may share your PHI with third parties known as QSOs/BAs (see below) that perform various business activities (e.g., billing or transcription services) for Innovo Detox, provided we have a written contract with the QSO/BA.
- Disclosures to You. We may contact you regarding programs and services offered by Innovo Detox.
Uses and Disclosures That Do Not Require Your Authorization:
- Pursuant to an Agreement with a Qualified Service Organization/Business Associate (“QSO/BA”). We may enter into a contract with a third-party QSO/BA to provide services to Innovo Detox. Examples of these services include data processing, bill collecting, dosage preparation, laboratory analysis, or legal, medical, accounting and professional services. The QSO/BA may access your PHI but only to fulfill the QSO/BA’s function and may not re-disclose your PHI.
- As Required by Law. We may use or disclose your PHI to the extent that the use or disclosure is required by law, is limited to the relevant requirements of the law, and is permitted under the privacy laws applicable to Innovo Detox. In addition, we must make disclosures to the Secretary of the Department of Health and Human Services for the purpose of investigating or determining our compliance with applicable law if requested.
- For Audits and Investigations. We may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include public and private agencies and organizations that provide financial assistance to the program (such as third-party payers), regulatory agencies, and organizations performing utilization and quality control. If we disclose PHI to a health oversight agency, we will have an agreement in place that requires the agency to safeguard the privacy of your information.
- In Medical Emergencies. We may use or disclose your protected health information in a medical emergency situation to medical personnel only.
- Suspicion of Child Abuse or Neglect. We may disclose your PHI to a state or local agency that is authorized by law to receive reports of child abuse or neglect. However, the information we disclose is limited to only that information which is necessary to make the initial mandated report.
- For Deceased Patients. We may disclose PHI regarding deceased patients for the purpose of determining the cause of death, in connection with laws requiring the collection of death or other vital statistics, or permitting inquiry into the cause of death.
- Criminal Activity on Program Premises/Against Program Personnel. We may disclose your PHI to law enforcement officials if you have committed a crime on Innovo’s premises or against Innovo personnel.
- By Court Order. We may disclose your PHI if the court issues an appropriate order and follows required procedures.
Uses and Disclosures of PHI With your Written Authorization. Other uses and disclosures of your PHI will be made only with your written authorization. You may revoke an authorization at any time, for the exception of your emergency contact.
Your Rights Regarding Your Protected Health Information
Your rights with respect to your protected health information are explained below. Any requests with respect to these rights must be in writing. A brief description of how you may exercise these rights is included.
- You have the right to inspect and copy your Protected Health Information. You may inspect and obtain a copy of your PHI that is contained in a designated record set for as long as we maintain the record. A “designated record set” contains medical and billing records and any other records that the program uses for making decisions about you but does not include psychotherapy notes. Your request must be in writing. We may charge you a reasonable cost-based fee for the copies. We can deny you access to your PHI in certain circumstances. In some of those cases, you will have a right to appeal the denial of access.
- You may have the right to amend your Protected Health Information. You may request, in writing, that we amend your PHI that has been included in a designated record set. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us. We may prepare a rebuttal to your statement and will provide you with a copy of it.
- You have a right to receive a paper copy of this notice.
- You have the right to request added restrictions on disclosures and uses of your Protected Health Information. You have the right to ask us not to use or disclose any part of your PHI for treatment, payment or health care operations or to family members involved in your care. Your request for restrictions must be in writing and we are not required to agree to such restrictions.
- You have a right to request confidential communications. You have the right to request to receive confidential communications from us by alternative means or at an alternative location. Normally we will communicate with you through the phone numbers, postal address, and/or email addresses you provide. We will accommodate any reasonable request to communicate with you by alternative means or at an alternative location, but we may condition this accommodation by asking you for information regarding how payment will be handled or specification of an alternative address or other method of contact. We will not ask you why you are making the request.
If you believe your privacy rights have been violated, you may make a formal complaint or file a grievance with the program directly:
7007 York Road
Abbottstown, PA 17301
You can also contact the Secretary for the Department of Health and Human Services:
200 Independence Avenue, S.W. Washington, D.C. 20201 (202) 619-0257
You can also contact the Pennsylvania Department of Drug and Alcohol Program at (717) 783-8675.
No individual will ever be retaliated against for filing a complaint.