Health Insurance Portability Accountability Act (HIPAA)
This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. This Notice applies to the department of Children and Families, their Business Associates and Subcontractors.
What is Protected Health Information (PHI)?
Protected Health Information (PHI) is information that would enable a person reading or hearing it to identify you individually, referred to as “individually identifiable health information”, that relates to:
- your past, present, or future physical or mental health or condition;
- the provision of health care to you;
- the past, present, or future payment for the provision of health care or services to you; or
- your Genetic information.
Your Rights
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Choose someone to act for you
- Receive breach notifications
- Get a list of those with whom we’ve shared your information
- Get a copy of this Privacy Notice
- File a complaint if you believe your Privacy Rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Include you in a directory (if applicable)
- Provide mental health care
- Market our service and sell your information
- Raise Funds
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for services
- Work with our contracted Business Associates and subcontractors
- Help with public health and/or public safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Respond to lawsuits and legal actions
- Work with a medical examiner or funeral director
- Address workers’ compensation, health oversight agencies, law enforcement, and other government requests
- Government agencies providing benefits or services
Our Responsibilities, Changes, and Contact Information
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information (PHI).
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your PHI.
- We must follow the duties and privacy practices described in this Notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
- For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
Changes to the Terms of this Notice
We can change the terms of this Notice, and the changes will apply to all information we have about you. The new Notice will be available upon request, in our office, and on our website at www.myflfamilies.com/hipaa.
Effective: September 22, 2013
This Notice of Privacy Practices applies to the following organizations:
The Florida Department of Children and Families, their Business Associates and Subcontractors.
If you feel your privacy rights have been violated, or you disagree with a decision we made about your protected health information (PHI), you may file a complaint with the Secretary of the U. S. Department of Health and Human Services and/or the Department of Children and Families by contacting either agency at the addresses below. No retaliatory actions will be taken against you for filing a complaint.
Contact Information
- The Department of Children and Families, Office of Civil Rights
HIPAA Privacy Officer
2415 North Monroe Street
Suite 400
Tallahassee, FL 32303-4190
Phone: (850) 487-1901
FAX: (850) 921-8470 - U. S. Department of Health and Human Services
Sam Nunn Atlanta Federal Center, Suite 16T70
61 Forsyth Street, SW
Atlanta, GA 30303-8909
Voice Phone: (404) 562-7453
FAX: (404) 562-7881
TDD: (404) 562-7884
Click to open a printable copy of the Notice of Privacy Practices.