Challenge Unlimited, Inc
Residential Options, Inc.
NOTICE OF PRIVACY PRACTICES
Effective Date: April 14, 2003.
We respect the confidentiality of protected health information and only release medical information in accordance with the Illinois and federal law. This notice describes our polices related to the use of medical records generated or kept by this Organization.
Privacy Contact. If you have any questions about this policy or your rights contact Krescene Beck at 618-465-0044, extension 1005 or Leo Poettker at extension 1038.
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION
In order to effectively provide services to our Persons Receiving Services (PRS) or process medical information on employees or PRS for health insurance, workers compensation claims or medical leaves of absence, there are times when we will need to share medical information with others beyond our Organization. This includes for:
Treatment. We may use or disclose medical information to provide, coordinate, or manage health care or any related services, including sharing information with others outside our Organization that we are consulting with or referring to.
Payment. Information may be used to obtain payment for the treatment and services provided. This may include contacting a health insurance company for prior approval of planned treatment or for billing purposes.
Health Care Operations. We may use information about you to coordinate our business activities. This may include setting up your appointments, reviewing your care and training staff.
Information Disclosed Without Consent. Under Illinois and federal law, information may be disclosed without consent in the following circumstances:
Emergencies. Sufficient information may be shared to address the immediate emergencies.
Follow Up Appointments/Care. We will make contact to remind of future appointments or information about treatment alternatives or other health related benefits and services that may be of interest.
As Required by Law. This would include situations where we have a subpoena, court order, or are mandated to provide public health information, such as communicable diseases or suspected abuse and neglect such as child abuse, elder abuse, or institutional abuse.
Coroners, Funeral Directors, and Organ Donation. We may disclose medical information to a coroner or medical examiner and funeral directors for the purposes of carrying out their duties. When organs are donated sufficient information will be provided to the program as necessary to facilitate the organ or tissue donation.
Governmental Requirements. We may disclose information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections and licensure. There also might be a need to share information with the Food and Drug Administration related to adverse events or product defects. We are also required to share information, if requested with the Department of Health and Human Services to determine our compliance with federal laws related to health care.
Criminal Activity or Danger to Others. If a crime is committed on our premises or against our personnel we may share information with law enforcement to apprehend the criminal. We also have the right to involve law enforcement when we believe an immediate danger may occur to someone.
PERSONS RECEIVING SERVICES & EMPLOYEES RIGHTS
Persons Receiving Services and Employees have the following rights under Illinois and federal law:
Copy of Record. Persons Receiving Services and Employees are entitled to inspect the medical record our Organization has generated about them. We may charge a reasonable fee for copying and mailing records.
Release of Records. Persons Receiving Services and Employees may consent in writing to the release of their records to others, for any purpose. This could include attorneys, employers, or others wished to have knowledge of care. Persons Receiving Services and Employees may revoke this consent at any time, but only to the extent no action has been taken in reliance on prior authorization.
Restriction on Record. Persons Receiving Services and Employees may ask us not to use or disclose part of the medical information. This request must be in writing. The Organization is not required to agree to the request if we believe it is in the best interest of the Persons Receiving Services and Employees to permit use and disclosure of the information. The request should be given to the Privacy Contact.
Contacting You. Persons Receiving Services and Employees may request that we send information to another address or by alternative means. We will honor such request as long as it is reasonable and we are assured it is correct. We have a right to verify that the payment information provided is correct. We also will be glad to provide information by email by request. If Persons Receiving Services and Employees wish us to communicate by email, the are also entitled to a paper copy of this privacy notice.
Amending Record. If Persons Receiving Services and Employees believe that something in a record is incorrect or incomplete, a request may be made to amend it. To do this contact the Privacy Contact and ask for the Request to Amend Health Information form. In certain cases, we may deny a request. If we deny a request for an amendment Persons Receiving Services and Employees have a right to file a statement of disagreement. We will then file our response which will accompany the statement of disagreement in the Persons Receiving Services and Employees record.
Accounting for Disclosures. Persons Receiving Services and Employees may request an accounting of any disclosures we have made related to medical information, except for information we used for treatment, payment, or health care operations purposes, or that we shared with Persons Receiving Services and Employees or their family, or information for which specific consent was given to release. It also excludes information we were required to release. To receive information regarding disclosure made for a specific time period no longer than six years, and after April 14, 2003, please submit a request in writing to the Privacy Contact. We will notify you of the cost involved in preparing this list.
Questions and Complaints. If Persons Receiving Services and Employees have any questions, or want a copy of this Policy or have any complaints, contact the Privacy Contact in writing at our office for further information. You also may complain to the Secretary of Health and Human Services if you believe our Organization has violated your privacy rights. We will not retaliate against you for filing a complaint.
CHALLENGE UNLIMITED WEB SITE INFORMATION DISCLAIMER
Challenge Unlimited (Challenge Unlimited, Inc., Residential Options, Inc., and Alpha Industries, Inc.) will try to ensure that the information on its World Wide Web server is accurate and as up to date as possible.
Although care has been taken in preparing the information contained on CU’s Web pages, Challenge Unlimited does not and cannot guarantee the accuracy of the contents. Some information on this Web site may become outdated due to changes in each company’s management or Board of Director’s Policy. In such instances, current company management or Board Policy will prevail. Users of this information do so at their own risk and shall be deemed to indemnify Challenge Unlimited from any and all injury or damage arising from such use. This includes hyperlinks to web servers external to our web server and not under our control.
Given that the Internet is comprised of cooperating independent networks that are not governed by any single institution, there is no central authority to monitor the content or quality of information available through the Internet. There may be information available through CU’s Internet connection that may be offensive and objectionable and Challenge Unlimited does not regulate the availability of such information nor does it sanction its content.
Challenge Unlimited does not discriminate on the basis of race, color, religion, gender, age, disability, national origin or veteran status.
Challenge Unlimited recognizes the Federal Regulations of the Americans with Disabilities Act of 1990 and offers appropriate services or activities with reasonable accommodations to any qualified disabled individual upon request.
Challenge Unlimited reserves the right to change, without notice, any of the material, information, requirements, or regulations published on the Internet.