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Privacy Practices

Families United Network, Inc.
d.b.a. Ashler Manor

This notice describes how medical information about you (or your biological, foster/residential care child) may be used and disclosed and how you can get access to this information. Please review it carefully.

I. How Families United Network, Inc. Uses and Discloses Health Information:

Families United Network, Inc. provides a broad range of services through a wide variety of social services programs. If you (or your biological, foster/residential care child) receive services from a Families United Network, Inc. program, the Families United Network, Inc. program may utilize protected health information and disclose it to other health and human services programs to:

a) plan and provide care and treatment

b) communicate with health care professionals who care for you (or your biological, foster/residential care child)

c) describe the care you (or your biological, foster/residential care child) receive

d) obtain reimbursement from private insurers or other government programs

e) verify that services billed were actually provided

f) educate health professionals

g) inform public health officials charged with improving healthcare

h) administer Families United Network, Inc.'s programs, which provide public benefits, and/or health or human services

i) assess and improve the services provided and the outcomes achieved

j) pay for services you (or your biological, foster/residential care child) receive

k) inform you (or your biological, foster/residential care child) about other public programs and services

Families United Network, Inc. and its programs will not use or disclose this protected health information except as described in this notice, or otherwise authorized by law.

II. Your Health Information Rights:

You (or your biological, foster/residential care child) have the right to:

a) request a restriction on certain uses and disclosures of protected health information

b) obtain a paper copy of this Notice of Privacy Practices upon request

c) inspect and copy your protected health information

d) request amendments to your protected health information

e) obtain an accounting of disclosures of your protected health information

f) request communications of your protected health information by alternative means or at an alternative address

g) revoke your consent to use or disclose your protected health information to the extent that it has not already been relied upon

h) file a complaint to Families United Network, Inc. and/or the Secretary of the U.S. Department of Health and Human Service if you believe your privacy rights have been violated.

III. Families United Network, Inc. Program Duties:

Families United Network, Inc. social services programs each have a duty to:

a) maintain the privacy of your (or your biological, foster/residential care child’s) protected health information

b) provide you with a notice as to our legal duties and privacy practices with respect to protected health information we collect and maintain about you (or your biological, foster/residential care child)

c) abide by the terms of this notice

d) notify you (or your foster/residential care child's parent or custodian) if we are unable to agree to a requested restriction

e) accommodate reasonable requests you may have to communicate your health information by alternative means or at an alternative address

f) provide an accounting of disclosures of your (or your biological, foster/residential care child's) protected health information

Families United Network, Inc. or any of our social services programs may change its privacy practices and make the new privacy practices effective for all protected health information we maintain. Should our privacy practices change, we will mail a revised notice to the address you have supplied us.

IV. For More Information or to Report a Problem:

If you have questions or would like additional information, you may contact:

Families United Network, Inc.
Janna Brubaker, Privacy Officer
406 South Angle Street
Mount Joy, PA 17552
Telephone: 1-800-722-0136
Email: jbrubaker@families4kids.org

If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer or with the Secretary of the United States Department of Health and Human Services. There will be no retaliation for filing a complaint.

V. Examples of Disclosures for Treatment, Payment and Health Operations:

We will use your (or your biological, foster/residential child's) health information for treatment.

For example: Information obtained by a nurse, physician, psychiatrist/psychologist or other member of your healthcare team will be recorded in your (or your biological, foster/residential child’s) file used to determine the course of treatment that should work best.

We will use your (or your biological, foster/residential child's) health information for payment.

For example: A bill may be sent to a county Children and Youth Agency or any private or public source of health coverage you (or your biological, foster/residential child) have identified. The information on or accompanying the bill may include information that identifies you (or your biological, foster/residential child), as well as the diagnosis, procedures, and supplies used.

We will use your (or your biological, foster/residential child's) health information for regular child welfare operations.

For example: Members of a quality assurance team may use information in your child’s file to assess the care and outcomes in his/her case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the service we provide.

Vl. Others who may receive your (or your biological, foster/residential child's) health information

Business Associates. There are some services provided in our organization through contracts with business associates. When these services are contracted, we may disclose health information to our business associate so that they can perform the job we've asked them to do. However, we require the business associate to appropriately safeguard this information.

Research. We may disclose information to researchers when the information is de-identified or when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of this health information.

Funeral Directors: We may disclose health information to funeral directors to carry out their duties, as required by law.

Public health. We may disclose health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

Correctional institution: Should you (or your biological, foster/residential care child) be an inmate of a correctional institution, we may disclose to the institution or agents thereof, any health information necessary for your health and the health and safety of other individuals, or for the administration of the institution.

Law enforcement. We may disclose health information for law enforcement purposes.

Families United Network Foster Care and Adoption Services
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Families United Network Foster Care and Adoption Services
Families United Network Foster Care and Adoption Services
Families United Network Foster Care and Adoption Services