Notice of Privacy Practices

Our responsibilities

We are required by law to maintain the privacy and security of your protected health information, to give you this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you promptly if a breach occurs that may have compromised your information.

How we may use and disclose your information

• Treatment. To provide and coordinate your care with your physician and other providers.
• Payment. To bill and receive payment from Medicare, insurers or you.
• Health care operations. To run our agency, improve quality and train staff.
• As required or permitted by law. Including public health, health oversight, abuse or neglect reporting, and other purposes defined in 45 CFR 164.512.

Other uses, including most marketing and any sale of your information, require your written authorization, which you may revoke at any time.

Your rights

• Get a copy of your health and claims records
• Ask us to correct records
• Request confidential communications
• Ask us to limit what we use or share
• Get a list of those with whom we have shared your information
• Get a copy of this notice
• Choose someone to act for you
• File a complaint if you believe your rights have been violated, with us or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you.

California law

Where California law, including the Confidentiality of Medical Information Act (Civil Code section 56 and following), is more protective than HIPAA, we follow California law. In particular:

• Certain information has extra protection under California and federal law and generally will not be shared without your specific written authorization: HIV test results, mental health treatment records, substance use disorder treatment records, and genetic test results.
• We will not use or disclose your medical information for marketing, or sell it, without your written authorization.
• You may request that we communicate with you at a specific address or phone number, and we will accommodate reasonable requests.

We are a home health agency licensed by the California Department of Public Health. In addition to the U.S. Department of Health and Human Services Office for Civil Rights, you may raise concerns about your care or privacy with the California Department of Public Health, Licensing and Certification Program (cdph.ca.gov) [[TODO: reviewer to insert the local district office phone number]], or with the California Attorney General's Office (oag.ca.gov/privacy). We will not retaliate against you for filing a complaint.

This notice is available in other languages and formats on request.

Contact

Privacy Officer: [[TODO: privacy officer name/title]] · Peace & Harmony Home Health Care Inc, 620 N. Brand Blvd., Suite 200, Glendale, CA 91203 · 747-262-1676 · info@phhhc.com

Effective date: [[TODO]]