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Lake County
Chemical Dependency Program Information and
Client Rights
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, Lake County Chemical Dependency Program may
not say to a person outside LCCDP that you attend the program,
nor may Lake County Chemical Dependency Program disclose any
information identifying you as an alcohol or drug abuser, or
disclose any other protected information except as permitted
by federal law.
Lake County Chemical Dependency Program must obtain your
written consent before it can disclose information about you
for payment purposes. For example, LCCDP 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 LCCDP can share
information for treatment purposes or for health care
operations. However, federal law permits Lake County Chemical
Dependency Program to disclose information without your
written permission:
1. Pursuant to an agreement with a business associate;
2. For research, audit or evaluation;
3. To report a crime committed on LCCDP’s premises or against
LCCDP personnel;
4. To medical personnel in a medical emergency;
5. To appropriate authorities to report suspected child abuse
or neglect;
6. To warn if there is a threat against a person;
7. As allowed by a court order.
For example, Lake County Chemical Dependency Program can
disclose information without your consent to obtain legal or
financial services, or to another medical facility providing
healthcare to you, as long as there is a business associate
agreement in place.
Before LCCDP can use or disclose any information about your
health in a manner which is not described above, it must first
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 HIPPA you have the right to request restrictions on
certain uses and disclosures of your health information. LCCDP
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. LCCDP will accommodate such
requests that are reasonable and will not request an
explanation from you.
Under HIPPA you also have the right to inspect and copy your
own health information maintained by LCCDP, 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 HIPPA you also have the right, with some exceptions, to
amend health care information maintained in LCCDP’s records,
and to request and receive an accounting of disclosures of you
health related information made by LCCDP during the six years
prior to your request. You also have the right to receive a
paper copy of this notice.
Lake County Chemical Dependency’s
Duties
LCCDP 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. LCCDP is required by law to abide by the terms of
this notice. LCCDP 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 LCCDP and the Secretary of the United
States Department of Health and Human Services if you believe
that your privacy rights have been violated under HIPPA. 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 Chris Wright, Privacy
Officer, 883-7310.
Effective Date
April 15, 2003Client Rights |
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