I. How The Therapist May Use or Disclose Your or Your Child’s Health Information
Moving Mountains Therapy Center contracts with Eat.Move.Grow., S-Corp (occupational therapy and mental health) and Stack Speech Therapy Group., S-Corp (speech therapy and physical therapy) to provide clinical treatment services. An Eat.Move.Grow. or Stack Speech Therapy therapist may collect and store your or your child’s clinical health or billing information in a chart and on a computer. Your or your child's clinical records are kept by Moving Mountains Therapy Center, PLLC. Your billing records are kept by Eat.Move.Grow, S-Corp, or Stack Speech Therapy, Corp, as appropriate. However, the information in these records belong to you. We will protect the privacy of you or your child’s health information. However, the law permits the company to use or disclose your or your child’s health information for the following purposes:
Ø Your or your child's health information may be used by or disclosed to school personnel, physician(s), and personnel from other agencies as necessary to plan, coordinate, implement and evaluate health related services provided.
Ø Your or your child’s health information may be disclosed to Medicaid Passport provider to obtain the provider’s referral. Also, the therapist is required to share progress summaries, evaluation reports and discharge summaries with Passport providers.
Ø Your or your child’s health information may be used or disclosed to Montana Medicaid, CHIPS, private health insurers, or a person you identify as responsible for the payment of the account for the purpose of receiving payment for the services. In all cases, we will disclose the minimum amount of health information necessary to receive payment. This generally includes client name, social security (Medicaid) number, diagnosis code(s), and the procedure codes and fees for the services received.
3. Regular Health Care Operations.
Ø Portions of health information may be periodically assessed by outside health insurance/medicaid auditors to evaluate and ensure proper records are kept. For example, caseload reports showing names, social security numbers, school attended, types of services received, and source of reimbursement for services may be evaluated to ensure that we are conforming to the State guidelines.
4. Information provided to you.
You have the right to request access to or amendment of your or your child’s health information. In addition, you have the right to request an account of disclosures we have made of your or your child’s health information. You also have the right to request special privacy protections and a confidential channel of communication. All requests must be in writing and must follow a formal procedure for processing. The person who has given you this notice will help you make these request.
5. Notification and communication with family. We may disclose your or your child’s health information to notify or assist in notifying you, another family member, your personal representative or another person responsible for your or your child’s care about location or general condition. If you are able and available to agree or object, we will give you the opportunity to object prior to making this notification. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others.
6. Required by law. As required by law, we may use and disclose your or your child’s health information.
7. Public health. As required by law, we may disclose your or your child’s health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability; reporting child abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure.
8. Health oversight activities. We may disclose your or your child’s health information to health agencies during the course of audits, investigations, inspections, licensure and other proceedings.
9. Judicial and administrative proceedings. We may disclose your or your child’s health information in the course of any administrative or judicial proceeding.
10. Law enforcement. We may disclose your or your child’s health information to a law enforcement official for purposes such as identifying of locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena and other law enforcement purposes.
11. Public safety. We may disclose your or your child's health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public.
II. When the Therapist May Not Use or Disclose Health Information
Except as described in this Notice of Privacy Practices, the therapist will not use or disclose your health information without your written authorization. If you do authorize the therapist to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.
III. Your Health Information Rights
The below listed rights are not absolute and are subject to some limitations and conditions.
1. You have the right to request restrictions on certain uses and disclosures of your or your child’s health information.
2. You have the right to receive your's or your child’s health information through a reasonable alternative means or at an alternative location.
3. You have the right to inspect and copy your's or your child’s health information.
4. You have a right to request that the therapist amend your's or yout child’s health information that is incorrect or incomplete. We are not required to change your child’s health information and will provide you with information about the denial and how you can disagree with the denial.
5. You have a right to receive an accounting of disclosures of your's or your child’s health information made by the therapist,
6. You have a right to a paper copy of this Notice of Privacy Practices.
IV. Changes to this Notice of Privacy Practices
The Company reserves the right to amend this Notice of Privacy Practices at any time in the future, and to make the new provisions effective for all information that it maintains, including information that was created or received prior to the date of such amendment. Until such amendment is made, the therapist is required by law to comply with this Notice.
Complaints about this Notice of Privacy Practices or how the therapist handles your child’s health information should be directed to:
HIPAA Privacy Officer, Laura Olsonoski, OTD, OTR/L, ATP Eat.Move.Grow.,S-Corp. Missoula MT 952-356-6778
Shanna Stack, MS, CCC-SLP Stack Speech Therapy Group, S-Corp, Missoula MT 406-546-1103
If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to:
Department of Health and Human Services
Office of Civil Rights
Hubert H. Humphrey Bldg.
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
You may also address your compliant to one of the regional Offices for Civil Rights. A list of these offices can be found online at http://www.hhs.gov/ocr/regmail.html.