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Beacon Behavioral Services Privacy Policies

Notice of Beacon Behavioral Services’ (BBS) Policies and Practices

to Protect the Privacy of Your Health Information

THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. Uses and Disclosures for Treatment, Payment, and Health Care Operations

BBS (its professional and administrative staff) may use or disclose your protected health information (PHI), for treatment, payment, and health care operations purposes with your consent. To help clarify these terms, here are some definitions:

– Treatment is when BBS provides, coordinate or manage your health care and other services related to your health care. An example of treatment would be when a BBS clinician consults with another health care provider, such as your family physician or another psychologist.

– Payment is when BBS obtains reimbursement for your healthcare. Examples of payment are when BBS discloses your PHI to your health insurer to obtain reimbursement for your health care or to determine eligibility or coverage.

– Health Care Operations are activities that relate to the performance and operation of BBS. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination.

II. Uses and Disclosures Requiring Authorization

BBS may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authorization is obtained. An "authorization" is written permission above and beyond the general consent that permits only specific disclosures. In those instances when BBS is asked for information for purposes outside of treatment, payment or health care operations, BBS will obtain an authorization from you before releasing this information.

You may revoke all such authorizations of PHI at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) BBS has already relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, law provides the insurer the right to contest the claim under the policy.

III. Uses and Disclosures with Neither Consent nor Authorization

BBS may use or disclose PHI without your consent or authorization in the following circumstances:

IV. Patient’s Rights and BBS’ Duties

Patient’s Rights:

BBS’s Duties:

V. Complaints

If you are concerned that BBS may have violated your privacy rights, or you disagree with a decision BBS made about access to your records, you may contact Sandra Pelletier, Office Manager and Privacy Officer to discuss this matter further. You may also send a written complaint to the Secretary of the U.S. Department of Health and Human Services.

BBS does not retaliate against patients who raise concerns about privacy to their clinician, the partners, the Privacy Officer or DHHS.

VI. Effective Date, Restrictions, and Changes to Privacy Policy

This notice went into effect on April 14, 2003.