- For Treatment. We may give information to doctors, nurses, technicians, office staff or other personnel who provide services.
- For Payment. We may use and give others health information about the client when we need to decide on eligibility for coverage, coordinate care, review medical necessity, or review and respond to complaints. For example, while we work on getting authorization from insurance to provide services, we get personal information about the client to find out what services he/she is eligible for that are covered by his/her insurance.
- For Health Care Operations. We may use and give others the client’s personal information for our health care operations. That may include quality improvement activities; accreditation; responses to inquiries; appeals and review programs. It may also be used for health promotion; case management and care coordination; and general administrative activities. Sometimes it may be used for auditing; administering pharmaceutical programs; or in the facilitation of a sale, transfer or merger of all or a part of our organization with another organization. Our authorization form, which you or the client is asked to sign, usually includes these activities.
- Other permitted or required uses or disclosures. We may use or disclose health information about the client without permission for the following reasons, allowed by law:
- To comply with responsibilities to federal or state oversight agencies who oversee health care. For example, sharing information with State of Maryland Office of Health Care Quality (OHCQ) inspectors.
- To researchers where all procedures required by law have been taken to protect the confidentiality of the data.
- To comply with a court order or other lawful process.
- To persons providing services to us. They have to make sure that they will keep all information safe and secure.
- To let the client and authorized caregiver know about treatment alternatives or health-related benefits or services.
- Sometimes, we are allowed by federal and state law to give an agency health information about the client without authorization. An example would be information to protect victims of abuse or neglect, to avoid a serious threat to health or safety, to track diseases or medical devices. We may also inform military or veteran authorities if the client is a member of the armed forces. We may give information to coroners, medical examiners and funeral directors or for worker’s compensation, national security and anyone the law says we must give it to.
- We will give health information to organizations that handle organ, eye or tissue transplantation or to an organ donation bank. We will do that to make it easier for organ transplants and organ donation.
- We are allowed to use health information about the client in a way that does not personally identify the client.
- We may give health information about you to your family members or friends if you agree to it in writing.
- Right to look at and copy health information; Clients or their authorized caregivers have the right to look at their medical record and ask for a copy of the medical record, except for psychotherapy notes or other limited circumstances. However, a written request is required from the client at least one week in advance before they can be allowed to look at and/or receive a copy their health information. A fee may be charged for the costs of copying, mailing or other associated supplies.
- Right to change the Record; if a client and/or authorized caregiver believe the health information we have is not accurate, the client or authorized caregiver may ask us to change the information. If we cannot change the information, we will provide a written explanation.
- Right to an Accounting of Disclosures; Clients and/or authorized caregivers have the right to request an "accounting of disclosures." This is a list of individuals/institutions to whom we have given medical information about the client for purposes other than treatment, payment and health care operations. To get this list, the client and/or authorized caregiver must submit a request in writing and state a time period for which records are requested, which may not be longer than three years.
- Right to Request Restrictions (Limits); clients and/or authorized caregivers have the right to request a restriction or limitation on the health information we use or give someone else about the client for treatment, payment or health care operations. The client and/or authorized caregiver also has the right to request a limit on the health information we give about the client to someone who is involved in the client’s care or the payment for it. Under the law, we do not have to agree to a requested restriction.
- Right to Confidential Communications; Sometimes, the client and/or authorized caregiver has the right to request that health information be talked about in a particular place or in a certain way. We will agree to all reasonable requests.
- Right to a Paper Copy of This Notice; The patient/ caregiver has the right to a paper copy of this notice and may ask for it at any time.
The Secretary Department of Health and Human Services 200 Independence Avenue, S.E. Washington, D.C. 20201
Or Call 1-877-696-6775To file a privacy complaint with our office: Contact the Optimal Health Care, Inc., Privacy Officer at; 301-790-4962 / Toll Free: 1-855-798-1898 Ext 333 or send a mail to;
Privacy Officer Optimal Health care, Inc. 6 W. Washington Street, Ste. 212 Hagerstown, MD 21740