Catalyst Health Solutions

Privacy Notice

THIS NOTICE DESCRIBES HOW MEDICAL and SUBSTANCE ABUSE RELATED INFORMATION MAY BE USED AND DISCLOSED UNDER APPLICABLE LAW AND HOW YOU CAN GET ACCESS TO SUCH INFORMATION. PLEASE REVIEW CAREFULLY AND CONTACT OUR OFFICE WITH QUESTIONS.

This Privacy Notice is being provided to you as a requirement of a federal law, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. 1320d et seq., 45 F.F.R. Parts 160 &164 and the confidentiality law, 42 U.S.C 290dd-2, 42 C.F.R. Part 2.  This Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your right to access and control your protected health information. Your “protected health information” means any written or oral information about you, including demographic data that can be used to identify you, created or received by your health care provider, which relates to your past, present, or future physical or mental health condition.

Part 1:

Uses and Disclosures of Protected Health Information for Treatment, Payment, and Health Care Operations

We may use your protected health information for the purposes of providing treatment, obtaining payment for treatment, and conduction of health care operations. Your protected health information may be used or disclosed only for these purposes unless we have obtained your authorization or the use or disclosure is permitted or required by the HIPAA regulations or other law. Disclosures of your protected health information for the purposes described in this Privacy Notice may be made in writing, orally, or by electronic means.

  1. Treatment. We will use and disclose your protected healthcare information to provide, coordinate, or manage your health care and related services, including coordination and management with third parties for treatment purposes. Here are some examples of how we may use or disclose your protected health information for treatment:
    a. We may disclose your protected health information to a laboratory to order tests.
    b. We may disclose your protected health information to other physicians, psychologist, and pharmacists who may be treating you or consulting with us regarding your care.  We may disclose your protected health information to those who may be involved in your care, such as family members or your personal representative or applicable agencies, if permitted.
  1. Payment. We will use your protected health information to obtain payment for the services we provide to you. We may also disclose your protected health information to another provider involved in your care for their payment activities. Here are some examples of how we may use or disclose your protected health information for payment.
    a. We may communicate with your health insurance company to get approval for the services we render, to verify your health insurance coverage, to verify that particular services are covered under your insurance plan, and to demonstrate medical necessity.
  1. Health Care Operations. We may use and disclose your protected health information to facilitate our own health care operations and to provide quality care to all of our patients. Health care operations include such activities as: quality assessment and improvement; employee review activities; conduction or arranging for medical review, legal services, and auditing functions, including fraud and abuse detection and compliance reviews; business planning and development; business management and general administrative activities. In certain situations, we may also disclose your protected health information to another provider or health plan for their health care operations. Here are some examples of how we may use or disclose your protected health information for health care operations:a. We may use your protected health information to review our treatment and services and to evaluate the performance of our staff in caring for you.
    b. We may combine protected health information about many patients to decide what additional services we
    should offer, what services are not needed, and whether certain new treatments are effective.
    c. We may also disclose information to doctors, nurses, technicians, medical students, and other personnel for review and learning purposes.
    d. We may also use or disclose your protected health information in the course of maintenance and management of our electronic health information systems.
  1. Other Uses and Disclosures. As part of the functions above, we may use or disclose your protected health information to provide you with appointment reminders, to inform you of treatment alternatives, or to provide you with information about other health-related benefits and services which may be of interest to you.

Part 2:

Uses and Disclosures of Protected Health Information Permitted without Authorization but with an Opportunity for the Individual to Object

We may use your protected health information to maintain a directory of patients in our facility. The information included in the directory will be limited as possible and at a minimum include, name, address, contact number.

Part 3:

Uses and Disclosures of Protected Health Information Permitted without Authorization or Opportunity for the Individual to Object

The federal privacy rules allow us to use or disclose your protected health information without your authorization and without your having the opportunity to object to such use or disclosure in certain circumstances, including:

1. When Required By Law. We will disclose your protected health information when we are required to do so by federal, state, or local law.

2. For Public Health Reasons. We may disclose your protected health information as permitted or required by law for the following public health reasons:
a. For the prevention, control, or reporting of disease, injury or disability;
b. For the reporting of vital events such as birth or death
c. For public health surveillance, investigations, or
interventions;
d. For purposes related to the quality, safety, or effectiveness of FDA-regulated products or activities, including:
– Collection and reporting of adverse events, product defects or problems, or biological product deviations.
– Tracking of FDA-regulated products.
e. To notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading a disease or condition;
f. Under certain limited circumstances, to report to an employer information about an individual who is a member of the employer’s workforce.

3. To Report Abuse, Neglect, or Domestic Violence. We may notify government authorities if we believe a patient is a victim of abuse, neglect, or domestic violence. We will make this disclosure only when specifically authorized or required by law, or when the patient agrees to the disclosure.

4. For Health Oversight Activities. We may disclose your protected health information to a health oversight agency for oversight activities authorized by law, including audits; civil, administrative, or criminal investigations; inspections; licensure or disciplinary actions; civil, administrative, or criminal proceedings or actions; other activities necessary for appropriate oversight.

5. For Judicial or Administrative Proceedings. We may disclose your protected health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order. We may disclose your protected health information in response to a subpoena, discovery request, or other lawful process that is not accompanied by an order of a court or administrative tribunal if we have received satisfactory assurances that you have been notified of the request or that an effort has been made to secure a protective order.

6. For Law Enforcement Purposes. We may disclose your protected health information to a law enforcement official for law enforcement purposes, including:
a. Wound or physical injury reporting, as required by law.
b. In compliance with, and as limited by the relevant requirements of, a court order or court-ordered warrant, a subpoena, summons, or similar process,
c. Identification or location of a suspect, fugitive, material witness, or missing person,
d. Under certain limited circumstances when you are the victim of a crime,
e. Alerting law enforcement of the death of an individual where there is suspicion that the death may have resulted from criminal conduct.
f. Reporting criminal conduct that occurred on the premises of the provider,
g. In an emergency to report a crime.

9. For Research Purposes. We may use or disclose your protected health information for research purposes when an institutional review board that has reviewed the research proposal and protocols to safeguard the privacy of your protected health information has approved such use or disclosure.

10. To Avert a Serious Threat to Health or Safety. We may, consistent with applicable law and standards of ethical conduct, use or disclose your protected health information if we believe, in good faith, that such use or disclosure is necessary to prevent or lessen a serious and imminent threat to your health and safety or that of the public.

11. For Workers’ Compensation. We may use and disclose your protected health information, as necessary, to comply with workers’ compensation laws or similar programs.

To File a Complaint Regarding the Use of Protected Health Information:

U.S. Department of Health and Human Services
Office for Civil Rights Centralized Case Management Operations
200 Independence Ave., S.W. Suite 515F, HHH Building
Washington, D.C. 20201
Customer Response Center: (800) 368-1019 Fax: (202) 619-3818 TDD: (800) 537-7697 E-Mail: ocrmail@hhs.gov