OUR OBLIGATION TO YOU: We are committed to protecting the privacy of your confidential medical information. We are required by law to maintain the confidentiality of information that identifies you and the care you receive. We are required to give you this Notice of our legal duties, our privacy practices, and your rights, and we must follow the terms of this Notice. When we disclose information to other persons and companies pursuant to our contract with State agencies, we do so based on the consent that you sign with your treatment center. We follow the requirements of HIPAA and Title 42 of the US Code of regulations.
WE USE AND DISCLOSE INFORMATION For Treatment – For example, we give information to other facilities regarding your current enrollment status based on the consent you provide to your home clinic– For example, we give information to hospital and medical staff to review the status of your medication orders in the event you provide these other facilities with consent to release this information. To Business Associates – There are some services provided in our organization through contracts with business associates. Examples include data importation of medication type and dosages. To protect your health information, however, business associates are required by federal law to appropriately safeguard your information.
With Your Written Authorization – You may revoke any authorization at any time, in writing, but only as to future uses or disclosures, and only if we have not already acted in reliance. We may use or disclose medical information for purposes not described in this Notice only with your written authorization.
OTHER USES AND DISCLOSURES WE MAY MAKE WITHOUT AUTHORIZATION:
As Required by Law – To the extent and under the circumstances provided in such law. To Public Health Authorities – To keep records of program episodes, length of time in treatment, births, deaths, ensure the safety of drugs in your possession.
In Judicial Proceedings – In response to court or administrative orders; or subpoenas, discovery requests or other process after reasonable efforts to notify you or obtain a protective order.
Other Use of Your Medical Information – Other uses and disclosures of protected health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us with an authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you
YOU HAVE THE FOLLOWING RIGHTS To exercise these rights see the contact information below. To Obtain a Copy of this Notice on Request – It is also available at our Web site: To Request a Restriction on Certain Uses and Disclosures – We are not required to agree with your request. If we do agree with the request, we will comply with your request except to the extent that disclosure has already occurred or if you are in need of emergency treatment and the information is needed to provide the emergency treatment.
To an Accounting of Disclosures of Your Health Information – For purposes other than provision of our operations as a State Central Registry; disclosures to you or authorized by you; disclosures incidental to permitted disclosures; and certain other disclosures excluded by regulation.
For Breach Notification – In certain instances, you have the right to be notified in the event that we, or one of our Business Associates, discover an unauthorized access, use or disclosure of your health information. Notice of any such access, use or disclosure will be made in accordance with state and federal requirements.
Contact – To exercise any of the above rights, or if you have any questions, contact the Privacy Officer at 626 239-8245. If you believe your privacy rights have been violated, you may file a complaint, in writing, addressed to the Privacy Officer, Lighthouse Software Systems, LLC, 17532 Derian Ave, Irvine, CA 92614. There will be no retaliation for filing a complaint. You also have the right to complain to the Duty Officer, Office of Civil Rights, Department of Health and Human Services, 200 Independence Avenue SW, Washington, DC 20201.
Changes to This Notice – We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in our facilities and on our Web site at www.lhss.net A copy of the current Notice in effect will be available at our corporate office.