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Confidentiality

General Information

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 and 164, and the Confidentiality Law, 42 U.S.C. 290dd-2. 42 C.F.R. Part 2. Under these laws Mid-Eastern Council on Chemical Abuse (MECCA) may not say to a person outside MECCA that you attend the program, nor may MECCA disclose any information identifying you as an alcohol or drug abuser, or disclose any other protected information except as permitted by federal law.

MECCA must obtain your written consent before it can disclose information about you for payment purposes. For example, MECCA 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 MECCA can share information for treatment purposes or for health care operations. However, federal law permits MECCA to disclose information without your written permission:

  1. Pursuant to an agreement with a qualified service organization/business associate;
  2. For research, audit or evaluations;
  3. To report a crime committed on MECCA’s premises or against MECCA personnel;
  4. To medical personnel in a medical emergency;
  5. To appropriate authorities to report suspected child abuse or neglect;

As allowed by a court order.

For example, MECCA 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 MECCA can use or disclose any information about your health in a manner which 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.

Your Rights

Under HIPAA you have the right to request restriction on certain uses and disclosures of your health information. MECCA is not required to agree to any restrictions you request, but if it does agree then it is bound by that agreement and may not use or disclose any information which you have restricted except as necessary in a medical emergency.

You have the right to request that we communicate with you by alternative means or at an alternative location. MECCA will accommodate such requests that are reasonable and will not request explanation from you. Under HIPAA you also have the right to inspect and copy your own health information maintained by MECCA except to the extent that the information contains psychotherapy notes or information compiled for use in a civil, criminal or administrative proceeding or in other limited circumstances.

Under HIPAA you also have the right, with some exceptions, to amend health care information maintained in MECCA’s records, and to request and receive an accounting of disclosures of your health related information made by MECCA during the six years prior to your request. You also have the right to receive a paper copy of this notice.

MECCA’s Duties

MECCA is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. MECCA is required by law to abide by the terms of this notice. MECCA reserves the right to change the terms of this notice and to make new notice provisions effective for all protected health information it maintains. Any changes to this notice will be posted in all waiting areas of MECCA, and individual copies of the notice of changes will be provided at no charge when requested.

Complaints and Reporting Violations

You may complain to MECCA and the Secretary of the United States Department of Health and Human Services if you believe that your privacy rights have been violated under HIPAA. A complaint can be filed with MECCA by providing a written summary of your complaint to the CEO/President. Your written summary should contain a description of MECCA’s actions that you believe violate your protected rights under HIPAA, the dates of the violation, and the staff members involved. This material should be sent to MECCA, CEO/President, 430 Southgate Avenue, Iowa City, IA 52240. You will not be retaliated against for filing such a complaint.

Violation of the Confidentiality Law by a program is a crime. Suspected violations of the Confidentiality Law may be reported to the United States Attorney in the district where the violation occurs.

Contact
For further information, contact Vice President for Operations, MECCA, 430 Southgate Avenue, Iowa City, IA 52240.