Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
Arcadia Resources, Inc. (Arcadia) is committed to maintaining the confidentiality of all information it receives. The purpose of this notice is to inform you of how Arcadia may use and disclose Protected Health Information (PHI). Arcadia is required by law to maintain the privacy of PHI and to provide all individuals served with notice of Arcadia's legal duties and privacy practices with respect to PHI. Arcadia will abide by the terms set forth in this Notice.
HOW WE USE OR DISCLOSE YOUR MEDICAL INFORMATION - Without separate
authorization
1. Treatment - Arcadia will use medical information about you to provide
you with home care services and treatment. For example, information may be
shared with members of our staff, your doctors, or health care facilities.
2. Payment - Arcadia is normally required to disclose your medical
information to: obtain prior approval from an insurer before providing
services to you; bill and collect payment for the services we provided to
you.
3. Health Care Operations - Arcadia may use or disclose your medical
information for quality improvement, staff evaluation, or other operational
purposes. Your name and address may be used to send out satisfaction
surveys, or we may call you to remind you that our staff will be visiting
you. We have business associates such as accountants, consultants and
attorneys that provide some services for us. We have a written contract with
them that requires them to protect the privacy of your medical information.
Government surveyors may also have access to your medical information when
they are evaluating the quality of our services.
4. Health Related Benefits, Services and Treatment Alternatives -
Arcadia may use and disclose medical information about you to contact you
about other health related benefits, services or treatments that may be
available to you. If you do not want to receive these communications, please
notify Our Designee in writing.
5. Individuals Involved in Your Care - Arcadia may disclose medical
information about you to a family member, other relative, close friend or
any other person identified by you if they are involved in your care or
payments related to your care. We may disclose medical information about you
if they need to be notified of your location, general condition or death.
Please advise us if there is someone living in your home, a close friend or
a caregiver that you do not want us to share information with, or if you do
not want us to leave any messages on your telephone answering machine.
6. Uses or Disclosures That Are Required or Permitted by Law - Arcadia may use or disclose medical information about you as necessary as
required by law and for the following reasons: Disaster relief efforts;
public health activities to report, prevent or control diseases; research
under certain limited circumstances; reporting of abuse, neglect or domestic
violence; health oversight agencies, to Food and Drug Administration to
monitor drugs/devices; to the police or law enforcement officials as
required by law or in compliance with a court order or other process
authorized by law, to units of the government with special functions, such
as the U.S. Military or the U.S. Dept. of State, and to prevent a threat to
public health or safety, funeral directors, coroners and medical examiners;
organ donation; Workers' Compensation to provide benefits for work-related
injuries or illnesses.
Uses or Disclosures That Require Your Authorization
Other uses and disclosures will be made only with your written
authorization, which you may cancel at any time by notifying Our Designee in
writing of your desire to cancel it. Examples of this type of disclosure
would include: Drug companies request for your information for marketing
purposes, or an attorney requesting your medical information for use in a
civil law suit.
Your Rights
The information contained in your health or medical record is the physical
property of Arcadia. The information in it belongs to you. You have the
following rights:
Right to Request Restrictions - You have the right to ask us not to
use/disclose your medical information for a particular reason related to
treatment, payment or our operations. You may ask that family members or
other individuals not be informed of specific medical information. Requests
must be made in writing to Our Designee. We do not have to agree to your
request. If we agree to your request, we must keep the agreement, except in
the case of a medical emergency. Either you or Arcadia can stop a
restriction at any time.
Right to Receive Confidential Communications - You have the right to ask
that we communicate with you in a certain manner or at a certain place. A
request for confidential communications must be made in writing to Our
Designee. We must agree with the request if it is reasonable.
Right to Inspect and Copy Your Medical Information - You have the right to
request, inspect, and obtain a copy of your medical information. You must
submit a request in writing to Our Designee. We may charge a fee for the
costs of copying, summarizing and/or mailing information to you. If we
agree to your request, we will tell you. We may deny your request under
certain limited circumstances, and we will let you know in writing, if your
request is denied. You may be able to request a review of our denial.
Right to Request Amendments to Your Medical Information - You have the right
to request that we correct your medical information. You must submit your
request for an amendment in writing to Our Designee, if you believe that any
medical information in your record is incorrect or that important
information is missing. We do not have to agree to your request. If we
deny your request, we will tell you why. You have the right to submit a
statement disagreeing with our decision. We may deny a request if we
determine that the information: 1. Was not created by us, 2. Is not part of
the medical information that we maintain, 3. Is in records that you are not
allowed to inspect and copy, and 4. Current medical information is already
accurate and complete.
Right To An Accounting of Disclosures of Health Information - You have a
right to find out what disclosures of your PHI have been made. The list of
disclosures - an accounting, may be made for up to six (6) years prior to
the date on which you request the accounting, but can not include
disclosures before April 14, 2003. We are not required to include
disclosures for treatment, payment or Health Care operations or certain other
exceptions. You are entitled to one free accounting in any twelve (12)
month period and must submit a written request to Our Designee. We may
charge you for the cost of providing additional accountings. We will notify
you in advance if there is an additional charge.
Right To Obtain a Copy of the Notice - You have the right to request and get
a paper copy of this notice. Arcadia reserves the right to change its
privacy practices at any time, and any such change shall apply to all PHI
Arcadia maintains, including information created or received by Arcadia
prior to issuing a new Notice. If Arcadia materially changes its privacy
practices, this Notice shall be amended and disseminated to all clients.
Questions/Complaints - If you believe that your privacy rights have been
violated, you may contact Arcadia Resources, Inc. directly or the United
States Secretary of the U.S. Department of Health and Human Services. You
will not be retaliated against for reporting a violation of your privacy
rights. If you have any questions, want more information, or wish to file a
complaint with us, please contact by phone, or by mail:
Health Care Privacy Officer
9320 Priority Way West Dr.,
Indianapolis, IN 46240
Tel: 1-800-558-9683