Consumer Privacy Notice

Consumer Privacy Notice & Privacy Practices

This notice describes how your medical information may be used and disclosed.

OUR PLEDGE TO YOU

The privacy of your medical information is important to us. We understand that your medical information is personal and  we are committed to protecting it. We create a record of the care and services you receive at our organization. We need  this record to provide you with quality care and to comply with certain legal requirements. This notice describes your  rights and certain duties we have regarding the use and disclosure of medical information.

Grace Behavioral  Health Center has access to your medical information:

1. Grace Behavioral Health Center is a provider of care for you in our center, residential facilities, day treatment programs, or through home-based service.
2. Grace Behavioral Health Center staff at our location may assess, manage, authorize, and/or monitor your care as well as link you with community resources.
3. Grace Behavioral Health Center staff may be a billing/claims administrator for the services you receive.
4. Grace Behavioral Health Center will provide and maintain a record of all services that you receive.

Information regarding your health care, including payment for care is protected by these federal laws:

Health Insurance Portability and Accountability Act of 1996 (HIPAA) and 45 C.F.R. Parts 160 & 164 and Confidentiality Law, 42, C.F.R. Part 2. In the state of Louisiana the General Statutes 122 C also protects your information. Under these laws, Grace Behavioral Health Center may not say to any person outside our agencies that you are a client, nor may we disclose any information identifying you as a client except as permitted by federal and state law.

Grace Behavioral Health Center must obtain your written authorization before we can disclose information about you for payment purposes. If you do not authorize us to release information to your insurance company, full payment will be required at the time of service to Grace Behavioral Health Center.

Grace Behavioral Health Center may use and disclose your protected health information for health care operations. Within our offices, clinical staff, case managers, and direct care staff are authorized to review medical records for the purposes of providing client care and treatment and facilitating service authorization and utilization review.

YOUR PRIVACY RIGHTS

1. Under HIPAA you have the right to request restrictions on certain uses and disclosures of your health information. Grace Behavioral Health Center is not required to agree to any restrictions you request, but if we do agree we may not use or disclose any information that you have restricted except in an emergency or required by law.
2. You have the right to request that we communicate with you by alternative means or at an alternative location.
3. You have the right to inspect your record. Inspections must be scheduled with your primary provider and in some circumstances requests may be denied. You also have a right to request a personal copy of your record for a fee.
4. You have the right, with some exceptions to amend health care information maintained in our records.
5. You have the right to request and receive an accounting of disclosures of your health-related information made by Grace Behavioral Health Center.
6. You also have the right to receive a paper copy of this notice.

The laws do permit Grace Behavioral Health Center to disclose information without your written permission when:

1. The use and/or disclosure is required by law.
2. The use and/or disclosure is necessary for public health activities.
3. You have, or if we assign a client advocate to work on your behalf, the advocate may review your record.
4. A physician who referred you to us requests information.
5. We have a business associate (someone who provides services on our behalf).
6. Reporting a crime committed on Grace Behavioral Health Center premises or against any personnel.
7. There is a medical emergency.
8. We believe you are a danger to yourself or others, or if we believe you are likely to commit a crime, we may share information with law enforcement.
9. There is a report of suspected abuse or neglect.
10. Allowed by a court order.

Grace Behavioral Health Center can disclose information without your consent for legal or financial purposes, or to another medical facility to provide health care to you, as long as there is a business associate agreement in place. Before we can use or disclose any information about your health in a manner not described above or in items 1-10, we must first obtain your specific written authorization allowing us to make the disclosure. Any such written authorization may be revoked by you in writing except to the extent action has already been taken.

COMPLAINTS AND REPORTING VIOLATIONS

You may file a complaint with Grace Behavioral Health Center or the Secretary of the United States Department of Health and Human Services if you feel that your privacy rights have been violated under HIPAA. If you file a complaint, we will not take any action against you or change our treatment of you in any way. To file a complaint with Grace Behavioral Health Center, document your complaint in writing along with your full name, address, and phone number. A Client Complaint Form or a Client Grievance Report form can be used for this purpose. Both forms are available at any Grace Behavioral Health Center facility. For further information regarding your Privacy Rights please contact the Human Resources at 504-883-8330.

Mail to: Grace Behavioral Health Center
Attn: Human Resources – Privacy Officer
Grace Behavioral health Center
4323 Division St, Suite 110
Metairie, LA 70002