Notice of Privacy Practices

At any time, you or your legally authorized representative may revoke a written authorization that allows us to use and disclose your protected health information. The revocation must be in writing. When we receive a revocation of authorization, we will stop sharing your protected health information. Such a revocation will not apply to any information that we have already shared in reliance on your authorization.

We are required by law to retain your medical treatment records, regardless of any authorization to use or share the information.

You or your legally authorized representatives may ask us to correct or amend protected health information about you that you believe is incorrect or incomplete. We may deny this request after providing a reason in writing within 60 days if we determine that the protected health information or record that is the subject of the request:

• Was not created by us, unless you provide a reasonable basis to believe that the originator of the protected health information is no longer available to act on the requested amendment
• Is not part of your medical or billing records
• Is not available for inspection as set forth above; and/or
• Is accurate and complete.
• You do not have the right to have accurate information removed from your record. Any amendments will be an addition to, and not a replacement of, already existing records.

You or your legally authorized representative may request restrictions on how we use or disclose certain health information for treatment, payment or operations.

If healthcare services are paid in full out-of-pocket, we will abide by a request to not share information about such services for the purposes of payment or operations with your health insurer unless otherwise required by law. We have and reserve the right not to agree to any other requested restriction on the use/disclosure of the information.

You or your legally authorized representative may request an accounting of all the times we have shared your health information with other persons or organizations for up to six years prior to the request. The accounting will identify to whom the information was shared and the purpose for sharing, except for disclosures made:

• To carry out treatment, payment and healthcare operations;
• To persons involved in your care or for other notification purposes as provided by law;
• To correctional institutions or law enforcement officials as provided by law;
• For national security or intelligence purposes;
• Incidental to other permissible uses or disclosures; or
• Involving only a limited data set (information where certain direct personal identifiers have been removed).

Complaints may be filed for any perceived violation of your privacy rights by contacting Catalight Care Service’s Customer Service Department or the Department of Health and Human Services Office for Civil Rights. No retaliation will result from your making a complaint.

Complaints to Catalight Care Services may be filed with:

Catalight Care Services Support
Phone:  (925) 266-8500 or (855) 843-2476

Complaints to the Department of Health and Human Services may be filed with:
Office for Civil Rights Phone: (877) 696-6775

Website: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf

You or your legally authorized representative have both the right and choice to tell us to:

• Share information with family, close friends, or others involved in the care; and
• Share information in disaster relief situations.

In the event that you or your legally authorized representative is not able to tell us your choice preference, we may share health information if we believe doing so is in your best interests.

Our staff may use and share your health information with others (e.g., primary care doctors) in the provision, coordination, or management of your healthcare.

• Example: A Catalight Care Services practitioner asks another practitioner about your overall health.

We may use and share your health information to run the organization and improve care.

• Example: Using health information to identify what treatments are most effective in order to improve our services.

We may share your health information to bill and obtain payment from health plans or other entities, including for determinations of eligibility and coverage and other utilization review activities.

• Example: Giving your information to your health insurance plan in order to obtain payment for services

We may also disclose information for educational and training purposes. This information may be used in our ongoing effort to improve the quality and effectiveness of the healthcare and services we provide.

• Example: Use your feedback to educate and train staff in order to continue providing quality services.

We may share your health information in certain situations for public health or safety, such as to:

• Prevent the spread of disease;
• Help with product recalls;
• Report adverse reactions to medications;
• Report suspected abuse, neglect, or domestic violence; and
• Prevent or reduce a serious threat to anyone’s health or safety.

We may use or share your health information for:

• Workers’ compensation claims;
• Law enforcement purposes or with a law enforcement official;
• Health oversight activities authorized by law; and
• Special government functions such as military, national security, and presidential protective services.