Privacy Statement

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and
how you can get access to this information; please review it carefully.

If you need this letter in another language, large print or tapes please call us at (303) 432-5956
or 1-866-245-1959 (outside Denver).

Si usted necesita este documento en español, letras grandes, o en un cassette, por favor llame al
303.432.5956 o al 1-866.245.1959.

Foothills Behavioral Health Partners (“FBHPartners”) knows the information we get from you is private. The information FBHPartners gets and keeps private about you is called “Protected Health Information” or “PHI”. PHI includes information such as your name, age, social security number, Medicaid ID, and mental health information. We are required by law to keep your information private and to provide this notice to you, and we will notify you of a breach of your unsecured PHI.

This Notice is effective September 23, 2013. FBHPartners may make changes to its privacy practices and reserves the right to apply any changes in this Notice to all PHI maintained by FBHPartners. If FBHPartners changes its privacy practices, the revised Notice will be posted on its website (www.fbhpartners.com) as well as at its offices. You may call FBHPartners and request a copy of the privacy notice at any time.

Uses and Disclosures (Sharing) for Treatment, Payment, and Health Care Operations: We may use and disclose your PHI without your authorization in the following circumstances:

  • For treatment – We may use or share your PHI with your doctors so they may provide health care services to you.
  • For payment – We may use and share your PHI to pay for the health care you receive from our network of providers.
  • For health care operations – FBHPartners may use and share your information to make sure you receive appropriate health care. For example, FBHPartners uses PHI to review doctor recommendations for health care services.

Other Uses and Disclosures: We may use and disclose your PHI without your authorization
in the following circumstances:

  • To keep you informed – We may use or share your PHI to mail you information about our programs, remind you of appointments, treatment alternatives and other important information.
  • Public health – We may use or share your PHI with public health agencies to prevent the spread of diseases.
  • Regulatory Oversight – We may use and share your PHI with the government agencies who regulate (watch over) how we conduct business.
  • Legal reasons – We may use and share your PHI as required under law, for involuntary treatment, or to report crime.
  • Fraud or abuse – We may be required to use and share your PHI for investigation of fraud and/or abuse.
  • For other government programs – We may use or disclose your PHI to determine benefits or eligibility under government programs such as Medicaid.
  • To avoid harm – We may use or share your PHI with law enforcement so no harm comes to you or others (public safety).
  • For research – We may use and share your PHI for a research project if a review board has waived the authorization requirement.
  • For coroners, funeral directors, medical examiners, and if you are an organ donor – We may use or share your PHI to let the above people do their job.
  • Workers compensation – We may use and share your PHI with programs that provide benefits for work related injuries.
  • Correctional institutions – We may use or share your PHI with these places for the purposes of health and safety.
  • Business associates – We may use or share your PHI with contractors who agree to our privacy practices.
  • Family members – We may use or share your PHI in certain situations.

Authorizations

FBHPartners will ask your written permission to use your PHI for marketing, for disclosures that would be a sale of your PHI, and for other uses and disclosures not described in this notice. You may revoke authorizations at any time except to the extent FBHPartners has used or disclosed such information.

Your Privacy Rights

To exercise any of your privacy rights, please contact the FBHPartners Privacy Office and Compliance Hotline at (303) 432-5985.

  • You may see and get copies of your PHI – There are some limits to this right and you will not receive information prepared for use in a civil, criminal or administrative legal action.
  • FBHPartners may charge you to make the copies.
  • You may request correction – You have the right to request that we correct your PHI. We do not have to agree to this request in certain cases.
  • You may find out when we have disclosed your PHI without your consent – With some limits, you have the right to know when FBHPartners has sent your PHI without your consent.
  • You may ask FBHPartners to communicate with you privately – You can ask FBHPartners to communicate with you in a different way to keep your PHI private.
  • You may ask FBHPartners not to share your PHI – You may ask FBHPartners not to share your PHI, with limited exceptions FBHPartners does not have to agree to your request.

Complaints

If you have concerns or a complaint about the privacy of your PHI you may file a complaint with FBHPartners by contacting the FBHPartners Privacy Officer and Compliance Hotline at (303) 432-5985. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services.