Recovery
Resources uses and discloses information about you to carry out treatment,
payment, and health care operations. Both Federal and State laws govern
how information is used and stored, what information is disclosed, and
who gets this information. We will only disclose information about you
that we are permitted to disclose. We may, for example, disclose information
about you in an emergency situation.
In order to receive payment for services, we disclose information about
you to the Ohio Department of Mental Health (ODMH) and/or the Ohio
Department of Alcohol and Drug Addiction Services (ODADAS). To receive
mental health services and substance abuse services paid for by public
funds, you must provide information to your County Community Mental Health
Board or local Alcohol & Drug Addiction Services Board so that we can
determine if you are eligible for publicly-funded services, enroll you
in the County Behavioral Healthcare Plan, and pay the provider for your
service through the MACSIS computer system which connects the Board to
the Ohio Department of Mental Health, the Ohio Department of Alcohol
and Drug Addiction Services, and the Ohio Department of Jobs and Family
Services. We may disclose information to your managed care plan as necessary
for the purpose of processing your claim for payment to Recovery Resources for
services provided.
All information will be kept confidential, consistent with state and federal
laws. Name identifying information will be used only to pay for services
provided to you. Demographic information will be kept without your name
attached, and reported to the state departments. This information will
not be available to other sources, or used for other purposes. Information
will be kept for seven (7) years after your have received services, and only
demographic information will be kept after that time.
In order to evaluate the effectiveness and efficiency of services, we maintain
an electronic database of health information and those who install and
service our computer equipment may see your information. All business
associates who provide us with services that help us to operate are
notified that information they see is protected, and not to be disclosed.
We may disclose health information about you to public health authorities
that are authorized by law to collect information to prevent or control
diseases, injury, or disability. We may disclose health information to
a government authority authorized by law to receive reports of child abuse
or neglect. If we believe tht your are a victim of abuse, neglect, or
domestic violence, we may disclose information about you to a government
authority, social service agency, or protective service agency authorized
by law to receive reports of this kind. We may also disclose information
to a health oversight agency for oversight activities authorized by law,
including audits; civil, administrative, or criminal investigations; inspections;
licensure or disciplinary actions, or other activities necessary for appropriate oversight
of the health care system.
You have the right to request that we restrict how protected health information
is used or disclosed to carry out treatment, payment, or health care operations.
We are not required to agree to these restrictions. If we agree to a
restriction that you have requested, we will provide you with a written
description of the restriction, and that restriction will be binding on us.
You have the right to inspect and copy your health information. You have
the right to request RR to amend health information on a record about you
that you believe is inaccurate or incomplete. You have the right to
receive an accounting of disclosures of your health information.
All other uses and disclosures of health information about you will be made
only with your written authorization. We are required by law to maintain
the privacy of protected health information, and to provide you with notice
of our legal duties and privacy practices with respect to protected health
information. We are required to abide by the terms of this notice, but we
reserve the right to change the terms of this notice, and to make the new
notice provisions effective for all protected health information we maintain.
If we change this notice, a revised notice will be available to you upon request.
If you believe your privacy rights have been violated, you may process a complaint
by contacting Julia Rogers, Privacy Officer, at (216) 431-4131, Extension 1207.
Contact hours are Monday - Friday, 9 a.m. to 4:30 p.m. You may also file a
complaint in writing or electronically with the Office for Civil Rights (OCR)
Department of Health and Human Services, 233 N. Michigan Ave., Suite 240,
Chicago, IL 60601. For all complaints filed by e-mail send to OCRComplaint@hhs.gov.
The complaint must be filed in writing within 180 days of when you knew or should
have known of the occurrence of the act or omission that is the subject of your
complaint. You will not be subjected to any form of reprisal for filing a complaint.
RR may need to contact your by phone for appointment reminders or with information
about treatment alternatives or other health related benefits and services.
Recovery Resources may contact you to raise funds for the agency.
You will be offered a copy of this Notice of Privacy Practices for Protected
Health Information. You have the right to review this Notice before signing
the Consent for Treatment, and for Use and Disclosure of Protected Health Information
document. You will have the right to revoke your Consent in writing, except
to the extent that RR has taken action in reliance on the Consent.
This notice is effective on April 14, 2003