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Notice
of Privacy Practices
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 Privacy Notice is provided by:
Crossroads' Turning Points,
Inc., which will be referred to as CTP within this document, with corporate
offices in Pueblo, CO. The Health
Insurance Portability and Accountability Act (HIPAA) is a federal law.
We are required by HIPAA to provide you with this notice.
This notice describes our privacy practices, legal duties and your rights
concerning your protected health information (PHI).
This notice takes effect on April 14, 2003.
Our Legal Duties
Your privacy is important to us.
Information regarding your 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, CTP may not say to a person outside CTP that you
attend the program, nor may CTP disclose any information identifying you as an
ATOD (alcohol, tobacco and other drugs) abuser, or disclose any other protected
information except as permitted by federal law.
CTP 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. CTP is required by
law to abide by the terms of this notice. CTP
reserves the right to change the terms of this notice and to make new notice
provisions effective for all protected health information it maintains.
Any revised notice, while under our care, will be provided to you by
either onsite at our office(s) or by mail to an address that you provide to us.
How We May Use or Disclose
Your Health Information
For Treatment:
We may use your health information to provide you with counseling or
other substance abuse treatment services that CTP offers.
For example, information obtained by our staff, such as a counselor
providing counseling services to you, will record information in your record
that is related to your treatment. This
information is necessary to determine what treatment you should receive.
For Payment:
Generally, CTP needs your written consent before it can disclose
information about you for payment purposes.
The information provided for payment may contain information that
identifies you, your presenting problem and type of treatment that you received.
For Operations:
We may use and disclose health information about you for work within our
organization. For example, your
health information may be disclosed to supervisory staff, quality improvement
personnel, and others to:
- Evaluate the performance of our staff;
- Assess the quality of care and outcomes in your case
and similar cases;
- Learn how to improve our facilities and our service.
Federal law permits CTP to
disclose information without your written permission:
- Pursuant to an agreement with a qualified service
organization/business associate;
- For research, audit or evaluations (for example:
Signal and ADAD);
- To report a crime committed on CTP’s premises or
against CTP’s personnel;
- To medical personnel in a medical emergency;
- To appropriate authorities to report suspected child
abuse or neglect;
- As allowed by a court order.
Before CTP can use or
disclose any information about your health in a manner not described above, it
must first obtain your specific written consent/authorization allowing it to
make the disclosure. Any such
written consent may be revoked by you in writing.
Your Rights
You have the right to:
- Request a restriction on certain uses and disclosures
on your health information; however, CTP is not required to agree to a
requested restriction;
- Obtain a paper copy of the notice of privacy practices
upon request;
- Inspect and obtain a copy of your designated record
set;
- Amend your health care information, with some
exceptions;
- Request that we communicate with you by alternative
means or at an alternative location;
- Receive an accounting of disclosures of your health
information.
Complaints
You may file a written complaint
to the Privacy Official of CTP and to the Department of Health and Human
Services, if you believe your privacy rights have been violated. You will not be
retaliated against for filing a complaint.
Violation of the Federal
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
the Privacy Official, Crossroads' Turning Points, Inc. at:
719-546-6666 or 1-800-304-3758
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