THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOUR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
Responsibilities of Wright School
Wright School is required to abide by the terms of the notice currently in effect and is required by state and federal law to maintain the privacy of your child’s protected health information and to provide individuals with notice of our legal duties and privacy practices with respect to your child’s protected health information. This health information includes mental health, developmental disability and/or substance abuse services that are provided to your child, payment for those health care services, or other health care operations provided on your child’s behalf.
Wright School is required by law to inform you of our legal duties and privacy practices with respect to your child’s health information through this Notice of Privacy Practices. This Notice describes the ways we may share your child’s past, present and future health information, ensuring that we use and/or disclose this information only as we have described in this Notice. We do, however, reserve the right to change our privacy practices and the terms of this Notice, and to make the new Notice provisions effective for all health information we maintain. Any changes to this Notice will be posted in Wright School’s main lobby and on our agency web site at www.wrightschool.org. Copies of any revised Notices will be available to you upon request.
If at any time, you have questions or concerns about the information in this Notice or about our agency’s privacy policies, procedures and practices, you may contact our agency Privacy Official at (919) 560-5790.
Use and Disclosure of Health Information Without Your Authorization
Wright School performs some functions through contracts with other agencies and through private contractors and business associates. When services are contracted, Wright School must share enough information about your child with its contractors and business associates so that the private contractors and business associates can perform the job that Wright School has asked them to do.
To protect your child’s health information further, Wright School will only disclose your child’s health information after making sure in writing that its contractors or business associates will safeguard your information the same way that Wright School does. They agree to use your child’s information appropriately and are required by law to do so. Wright School may use or disclose your child’s protected health information to provide services to you for treatment, payment and healthcare operations.
Treatment: Wright School may use your child’s health information, as needed, in order to provide, coordinate or manage your child’s health care and related services. This includes sharing your child’s health information with other health care providers within this agency. (Example: Your child’s treatment team, composed of staff such as clinical coordinators, teacher/counselors, and social workers, will need to review your child’s treatment and discuss plans for your child’s discharge.)
We will disclose your child’s health information outside of Wright School for treatment purposes only with your consent or when otherwise allowed under state or federal law (Example 1: We may disclose your child’s health information to other mental health facilities or professionals (i.e., community based area mental health, developmental disabilities and substance abuse services program or psychiatric service at UNC Hospitals) in order to coordinate your child’s care. Example 2: We may share your child’s health information with a health care provider for emergency services.)
Payment for Services: (Please note: Wright School is not billing for services at the present time. If and when Wright School began to bill for treatment, this payment for services policy would be put into place.) The treatment provided to your child will be shared with Wright School’s billing department so a bill can be prepared for services rendered. We may also share your child’s health information with Wright School staff who review services provided to your child to make certain your child has received appropriate care and treatment. We will not disclose your child’s health information outside of this agency for billing purposes (i.e., bill your insurance company) without your authorization except in certain situations when we need to determine if your child is eligible for benefits such as Medicaid, Medicare or Social Security. (Example: A Social Worker may contact your local Department of Social Services to determine if your child is currently eligible for Medicaid or if your child would qualify for Medicaid. Example: Our billing department will collect insurance and other financial information from you at the time of admission.)
Health Care Operations: Wright School may use or disclose your child’s
health information in performing a variety of business activities that
we call “health care operations.” Some examples of how
we may use or disclose your child’s health information for health
care operations include the following:
More Stringent Laws
Other Circumstances: Wright
School may disclose your child’s
health information for those circumstances that have been determined
to be so important that your authorization may not be required. Prior
to disclosing your child’s health information, we will evaluate
each request to ensure that only necessary information will be disclosed.
Those circumstances include disclosures that are:
of Your Child’s
Health Information That Allows You An Opportunity To Object
If you would like to object to our disclosure about your child’s health information in either of the situations listed above, please contact Wright School’s Privacy Official listed in this Notice for consideration of your objection.
Disclosure of Your Child’s Health Information That Requires Your Authorization
Other uses and disclosures will be made only with your written authorizations and you may revoke such authorization as provided by 164.508(b)(5).
Wright School will not disclose your child’s health information without your authorization except as allowed or required by state or federal law. For all other disclosures, we will ask you to sign a written authorization allowing us to share or request your child’s health information. Before you sign an authorization, you will be fully informed of the exact information you are authorizing to be disclosed/requested and to/from whom the information will be disclosed/requested.
You may request that your authorization be cancelled by informing Wright School’s Privacy Official that you do not want any additional health information about your child exchanged with a particular person/agency. You will be asked to sign and date the Authorization Revocation section of your original authorization; however, verbal authorization is acceptable. Your authorization will then be considered invalid at that point in time; however, any actions that were taken on the authorization prior to the time you cancelled your authorization are legal and binding.
Wright School does NOT participate in the following at this time.
If, at any time, we begin any of these activities we will not disclose
client specific protected health information without your authorization.
Rights Regarding Your Child’s Health Information
Right to receive a copy of this Notice
In addition, copies of this Notice have been posted in several public areas throughout Wright School, including the main lobby, as well as on Wright School’s Internet web site at www.wrightschool.org. You have the right to request a paper copy of this Notice at any time from Wright School’s Admissions Officer or Wright School’s Privacy Official.
Right to Receive Notice of Privacy Breach
Right to request different ways to communicate with you
to request to see and copy your child’s health information
Your request may be denied by a physician or a professional designated by Wright School’s director under certain circumstances. If we do deny your request, we will explain our reason for doing so in writing and describe any rights you may have to request a review of our denial. In addition, you have the right to contact Wright School’s Privacy Official to request that a copy of your child’s health information be sent to a physician or psychologist of your choice.
Right to request amendment of your health information
We may deny your request if:
• The information
was not created by Wright School (unless you prove the creator of
the information is no longer available to change
If we deny your request to change your child’s health information, we will explain to you in writing the reasons for denial and describe your rights to give us a written statement disagreeing with the denial. If you provide a written statement, the statement will become a permanent part of your child’s record. Whenever disclosures are made of the information in question, your written statement will be disclosed as well.
Right to request a listing of disclosures we have made
Wright School is not required to include the following on the list of disclosures:
• Disclosure for your child’s
Your first request for a listing of disclosures will be provided to you free of charge. However, if you request a listing of disclosures more than once in a 12 month period, you may be charged a reasonable fee. We will inform you of the cost involved and you may choose to withdraw or modify your request at that time, before any costs are incurred.
to request restrictions on uses and disclosures of your child’s
We will make every attempt to honor your request but are not required to agree to such request. However, if we do agree, we must follow the agreed upon restriction (unless the information is necessary for emergency treatment or unless it is a disclosure to the U.S. Secretary of the Department of Health and Human Services).
You may cancel the restrictions at any time and we will ask that your request be in writing. In addition, Wright School may cancel a restriction at any time, as long as we notify you of the cancellation.
You may also send a written complaint to the United States Secretary
of the Department of Health and Human Services. Contact information
is as follows:
If you file a complaint, we will not take any action against you or your child or change our treatment of your child in any way.
Confidentiality of Alcohol and Drug Abuse Patient Records – 42 U.S.C. 290dd-3 and 42 U.S.C. 290ee-3 for Federal laws and 42 CFR Part 2 for Federal regulations.
Health Insurance Portability and Accountability Act (HIPAA), Administrative Simplification, Privacy of Individually Identifiable Health Information – 42 U.S.C. 1320d-1329d-8 and 42 U.S.C. 1320d-2(note) for Federal laws and 45 CFR Parts 160 and 164 for Federal regulations.
NC General Statutes – Chapter 122C, Article 3 (Client’s Rights and Advance Instruction), Part 1 (Client’s Rights). Chapter 90 (Medicine and Allied Occupations), Article 1 (Practice of Medicine).
NC Administrative Code – 10 NCAC 18 D (Confidentiality Rules)