THIS POLICY DESCRIBES HOW MEDICAL AND CERTAIN RELATED INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Information regarding your health care, including payment for health care, is protected by two federal laws; the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), 42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 & 164, and the Confidentiality Law, 42 U.S.C. § 290dd-2, 42 C.F.R. Part 2. Under these laws, The Village may not disclose any information identifying you as an alcohol or drug abuser, or disclose any other protected information except as permitted by federal law.
The Village must obtain your written consent before it can disclose information about you for payment purposes. For example, The Village must obtain your written consent before it can disclose information to your health insurer in order to be paid for services. Generally, you must also sign a written consent before The Village can share information for treatment purposes or for health care operations. However, federal law permits The Village to disclose information without your written permission:
- Pursuant to an agreement with a qualified service organization / business associate;
- For research, audit or evaluations;
- To report a crime committed on The Village's premises or against The Village personnel;
- To medical personnel in a medical emergency;
- To appropriate authorities to report suspected child abuse or neglect;
- As allowed by a court order.
For example, The Village can disclose information without your consent to obtain legal or financial services, or to another medical facility to provide health care to you, as long as there is a qualified service organization / business associate agreement in place.
Before The Village can use or disclose any information about your health in a manner that is not described above, it must first obtain your specific written consent allowing it to make the disclosure. Any such written consent may be revoked by you, in writing.