CUMBERLAND COUNTY AREA MH/DD/SA AUTHORITY

NOTICE OF PRIVACY PRACTICES

This Notice is effective on April 14, 2003

Cumberland County Mental Health Center is required by the privacy regulations issued under the Health Insurance Portability and Accountability Act (HIPAA) of 1996 to maintain the privacy of your health information and to provide you with notice of our privacy practices in regard to medical information.  The medical information may be health information that is created or received by us that may relate to your past, present, or future medical condition; provision of health care to you; or information that relates to the past, present, or future payment for the provision of health care to you.  That includes any treatment and payment records and any information that identifies you as a client.

 We are required to protect your health information by both state and federal laws.  In the event another applicable law, other than HIPAA, prohibits or limits our uses and disclosures of your health information, as set forth below, we will restrict our uses or disclosure of your health information in accordance with the more stringent standard.  In other words, we are only allowed to use and disclose medical information in the manner that we have described in this Notice.

 We are required to abide by the terms of this Notice so long as it remains in effect.  We reserve the right to change the terms of this Notice of Privacy Practices as necessary and to make the new Notice effective for all Protected Health Information maintained by us.  If we make material changes to our privacy practices, we are required to advise all consumers then active in treatment of our new Privacy Practice by:

·        Posting the new Notice in our waiting area;

·        Having the new Notice available upon request at each of the reception desks.

Copies of our current Notice may be obtained by contacting our Privacy Officer at 910-323-0601, at the address listed below, or on our Web site at www.ccmentalhealth.org.

 In this Notice we will describe how we may use and disclose the health information about you, explain your privacy rights in regard to your health information, and describe how and where you may file a privacy-related complaint.  At any time you need information about the uses or disclosures, our privacy practice, or other related information, contact our Privacy Officer at 910-323-0601.

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Notice of Privacy Practices

Effective Date 4/14/2003