The Brain Injury Alliance of Colorado (BIAC) is required to follow the privacy practices described in this Notice. We reserve the right to change our privacy practices and the terms of this Notice at any time and apply any changes to all medical information we have. If we do so, we will post a new Notice on our website at https://biacolorado.org/privacy. You may request a copy of the new Notice by contacting us at 303.355.9969 or 888.331.3311.
YOUR RIGHTS TO PRIVACY: Your medical information will not be shared and/or disclosed without your permission except as described in this Notice under Disclosures Not Requiring Your Permission. You may authorize other disclosures by completing an authorization form, and may withdraw this authorization in writing at any time. You have the right to ask the Brain Injury Alliance of Colorado to:
- Contact you by telephone, fax, mail, or e-mail at a specific number or address;
- Limit the use and/or disclosure of your medical information (we are not required by law to agree to your request);
- Look at or have a copy of any part of your designated record set maintained by the Brain Injury Alliance of Colorado (you may be charged processing and/or postal fees for this request);
- Change or add information to your designated record set (original documents may not be changed);
- Provide a list of disclosures of your medical information made after April 14, 2003 (which will not include disclosures for purposed of treatment/treatment alternatives, payment, health care operations, appointments, or those made to you or with your permission)
You may access your medical information by submitting a request to BIAC at 1385 S Colorado Blvd, Ste A-606, Denver, CO 80222
CONFIDENTIALITY PRACTICES AND USES: The Brain Injury Alliance of Colorado (including agencies contracted to handle administration, application, eligibility, case management and purchase of program services) may access, use and/or share medical information for:
- Treatment or Treatment Alternatives – For example, we may use medical information about you to coordinate health care related service, disclose information to providers who become involved in your care, or notify you about treatment alternatives or services that maybe of interest.
- Payment – For example, we may use medical information about you to determine your benefit eligibility or make decisions about purchasing services.
- Health Care Operations – For example, we may use this information to evaluate the performance of your health plan or health care provider.
- Appointments – For example, we may use this information to schedule or remind you of appointments.
DISCLOSURES NOT REQUIRING YOUR PERMISSION: The Brain Injury Alliance of Colorado can make disclosures under the following circumstances without your permission, under court order or law. Whenever permitted, your will be informed of these disclosures.
- Government Agencies and/or organizations Providing Benefits, Services, or Disaster Relief – For example, we may disclose information to the Red Cross for you to receive benefits during a natural disaster.
- Public Health – For example, we may disclose medical information for disease control and prevention, problems with medical products or medications, or prevent abuse, neglect or domestic violence.
- Health Oversight Activities – For example, we may disclose information to approved government agencies such as those responsible for the Medicaid program, U.S. Department of Health and Human Services or the Office of Civil Rights.
- Judicial and Administrative Hearings –For example, we may disclose specific medical information under court order or C.R.S. 27-10.
- Law Enforcement Purposes – For example, we may disclose information for law enforcement purposes, such as subpoenas.
- Coroners, Medical Examiners, and Funeral Directors – For example, we may disclose information to such professionals who need it to administer their work.
- Organ Donation and Disease Registries – For example, we may disclose medical information to authorized cancer or transplant registries.
- Research Purposes- For example, we may disclose information to assist with medical or psychiatric research.
- To Avert Serious Threat to Health, Safety, or Emergency Situation – For example, we may disclose information to prevent a serious threat to the health and safety or an individual or the public.
- Specialized Government Functions – For example, we may disclose information for national security purposes or to military authorities if you have been a member of the armed forces.
- Correctional Institutions – We may disclose medical information to correctional facilities to maintain the health, safety, and security of this system.
- Workers’ Compensation – We may disclose medical information to programs that provide benefits for work related injuries without regard to fault.
- As Otherwise Required By Law
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