HIPAA
(https://www.hhs.gov/programs/hipaa/index.html)
My Elderly Solutions LLC NOTICE OF PRIVACY PRACTICES
Effective Date: May 28, 2025
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.
I. YOUR RIGHTS
You have the following rights regarding your health information, which is called Protected Health Information (PHI).
A. Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI that may be used to make decisions about your care. This includes medical and billing records. We may charge a reasonable fee for the costs of copying, mailing, or other supplies associated with your request. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed.
B. Right to Amend: If you feel that PHI we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our facility. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. We may also deny your request if you ask us to amend information that: (1) Was not created by us, unless the person or entity that created the information is no longer available to make the amendment; (2) Is not part of the PHI kept by or for our facility; (3) Is not part of the information which you would be permitted to inspect and copy; or (4) Is accurate and complete.
C. Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures." This is a list of certain disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations, and for which you did not provide specific authorization. This right generally applies to disclosures made in the last six years.
D. Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or healthcare operations. You also have the right to request a limit on the PHI we disclose to someone involved in your care or the payment for your care, like a family member or friend. We are not required to agree to your request, except in one specific instance: We must agree to a request to restrict disclosure of PHI to a health plan if the disclosure is for payment or healthcare operations and pertains solely to a healthcare item or service for which you have paid out of pocket in full.
E. Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. We will not ask you for a reason for your request. We will accommodate all reasonable requests.
F. Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy.
G. Right to Be Notified of a Breach: You have the right to be notified in the event of a breach of your unsecured protected health information.
II. OUR RESPONSIBILITIES
We are required by law to:
Maintain the privacy and security of your protected health information.
Provide you with this Notice of our legal duties and privacy practices with respect to your PHI.
Abide by the terms of this Notice currently in effect.
Notify you if we are unable to agree to a requested restriction.
Accommodate reasonable requests you may have to communicate PHI by alternative means or at alternative locations.
Notify you following a breach of unsecured protected health information.
We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all PHI that we maintain. If we make a material change to our privacy practices, we will post the revised Notice on our website at [Your Website Address] and make paper copies available upon request. The effective date will be prominently displayed on the updated Notice.
III. HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION (PHI)
The following categories describe different ways that we may use and disclose your PHI. For each category, we will explain what it means and provide examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
A. For Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes sharing your PHI with other healthcare providers who are involved in your care. For example, we may disclose your PHI to a specialist to whom you have been referred to ensure continuity of care.
B. For Payment: We may use and disclose your PHI to obtain payment for the healthcare services we provide to you. This may include billing you, your insurance company, or another third party. For example, we may send a claim to your health plan with information about the services you received so they will pay us or reimburse you.
C. For Healthcare Operations: We may use and disclose your PHI for our healthcare operations. These uses and disclosures are necessary to run our facility and to ensure that all of our patients receive quality care. For example, we may use your PHI for quality assessment and improvement activities, staff training and evaluation, or for legal and auditing services.
D. Appointment Reminders, Treatment Alternatives, and Health-Related Benefits and Services: We may use and disclose PHI to contact you to remind you of an appointment, or to tell you about or recommend possible treatment options or alternatives, or health-related benefits and services that may be of interest to you.
E. Individuals Involved in Your Care or Payment for Your Care: We may disclose PHI to a family member, relative, close personal friend, or any other person you identify, if that person is involved in your care or payment for your care. We will only do this if you agree or if, in our professional judgment, it is in your best interest (e.g., in an emergency situation).
F. Required By Law: We will disclose PHI when required to do so by federal, state, or local law.
G. Public Health Activities: We may disclose your PHI for public health activities, such as: preventing or controlling disease, injury, or disability; reporting births and deaths; reporting child abuse or neglect; reporting reactions to medications or problems with products; or notifying a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.
H. Health Oversight Activities: We may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the healthcare system, government programs, and compliance with civil rights laws.
I. Lawsuits and Disputes: If you are involved in a lawsuit or a dispute, we may disclose PHI in response to a court or administrative order. We may also disclose PHI in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
J. Law Enforcement: We may release PHI if asked to do so by a law enforcement official, for example: to identify or locate a suspect, fugitive, material witness, or missing person; about the victim of a crime; or to report a crime that occurred on our premises.
K. Coroners, Medical Examiners, and Funeral Directors: We may release PHI to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release PHI to funeral directors as necessary to carry out their duties.
L. National Security and Intelligence Activities/Protective Services: We may release PHI to authorized federal officials for national security and intelligence activities, or for protective services for the President and other authorized persons.
M. Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release PHI to the correctional institution or law enforcement official.
N. Workers' Compensation: We may release PHI for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.
O. Research: We may use and disclose your PHI for research purposes when the research has been approved by an Institutional Review Board (IRB) or a Privacy Board that has reviewed the research proposal and established protocols to ensure the privacy of your PHI.
IV. USES AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION
Other uses and disclosures of your PHI not covered by this Notice or the laws that apply to us will be made only with your written authorization. This includes, but is not limited to:
A. Most uses and disclosures of psychotherapy notes.
B. Uses and disclosures of PHI for marketing purposes.
C. Disclosures that constitute a sale of PHI.
You may revoke an authorization at any time, in writing, except to the extent that we have already acted upon it.
V. COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services.
To file a complaint with us, please contact:
Privacy Officer: My Elderly Solutions LLC
Phone Number: 1-228-918-0650
Email Address: myelderlysolutionsplus@gmail.com
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
To file a complaint with the Secretary of the Department of Health and Human Services, you may contact:
Office for Civil Rights U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 1-877-696-6775 (toll-free) www.hhs.gov/ocr/privacy/hipaa/complaints/
VI. CONTACT INFORMATION
If you have any questions about this Notice, please contact:
Privacy Officer: My Elderly Solutions LLC
Phone Number: 1-228-918-0650
Email Address: myelderlysolutionsplus@gmail.com