1. You have the right to receive a paper copy of the Notice and/or an electronic copy by email upon request. Anew Behavioral Health LLC has the right to review this Notice, and if revisions are made to this Notice, you have the right to receive the revised copy.

2. You have the right to file a complaint to our Client’s Rights Officer (Cathy Heid, Chief Administrative Officer, 740-249-4514), if you think we may have violated your privacy rights, or if you disagree with a decision we made about access to your Protected Health Information (PHI). You may also file a written complaint with the Secretary of the U.S. Department of Health and Human Services at 200 Independence Avenue SW, Washington D.C., 20201 or call 1-877-696-6775. There will not be any penalties against you if you make a complaint.

3. Anew Behavioral Health LLC is required to maintain the privacy of the information in your file, and to abide by the terms of this notice.

4. Your Protected Health Information (PHI) refers to individually identifiable information relating to the past, present, or future physical or mental health or condition of you the client, provision of health care to you, or the past, present, or future payment for health care provided to you.

5. Anew Behavioral Health LLC maintains a limited right to use and/or disclose your PHI for purposes of treatment, payment, and healthcare operations as follows:

Treatment

We may use medical information about you to provide you with behavioral health and medical treatment or services. We may disclose medical information about you to doctors, nurses, counselors, healthcare professionals in training, or other agency personnel who are involved in taking care of you through the agency. For example, a medical diagnosis may be shared with a specialist to help in your treatment process. Different departments of the agency may also share medical information about you to coordinate the different things you need, such as prescriptions, counseling, and residential support.

Payment

We may use and disclose medical information about you so that the treatment and services you receive at the agency may be billed to and payment may be collected from you, an insurance company or a third party.

For example, we need to give the Ohio Medicaid/ADAMHS Board and/or the State Departments information about counseling you received at the agency, so the Board will pay us for the services.

Healthcare Operations

We may use and disclose medical information about you for agency operations. These uses and disclosures are necessary to run the agency and make sure that all of our clients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may also combine medical information about many agency clients to decide what additional services the agency should offer, what services are not needed, and whether certain new treatments are effective.

We may also disclose information to doctors, nurses, technicians, health professionals in training, and other agency personnel for review and learning purposes. We may also combine the medical information we have with medical information from other agencies to compare how we are doing and see where we can make improvements in the care and services we offer. We may remove information that identifies you from this set of medical information so others may use it to study healthcare and healthcare delivery without learning who the specific clients are.

SMS Messaging Consent and Communication

We may use SMS messaging to communicate with you about important updates regarding your account and appointments, and to facilitate your access to your telehealth appointments. You may opt in when initiating services or at any time by texting “START” or by contacting the office at 866-534-2639.

You may opt out at any time by texting “STOP” or by contacting the office at 866-534-2639 and requesting to opt out. Messaging frequency may vary. Message and data rates may apply. Your consent to receive SMS messages is not required as a condition of receiving services.

SMS consent is not shared with third parties or affiliates. You may text “HELP” for the following information: For emergency medical or mental health crisis, call 911 or 988. For non-crisis assistance: call us at 866-534-2639, email us at helpnow@anewbh.com, or visit our Contact page at https://anewbh.com/contact/.

A sample message that you may receive would read: “Thank you for confirming your appointment! Here is the link to your provider’s waiting room: https://anewbh.doxy.me/providername. Remember, you can save this link for future appointments with this provider as it doesn’t change. If you lose the link, you can always go to our website Anewbh.com, click Telehealth at the bottom of the page, enter the name of your provider, and click ‘Enter Room’ to access their waiting room.”

6. Anew Behavioral Health LLC maintains a right or is required by law to use and/or disclose your PHI in certain circumstances without your authorization. Refer to Anew Behavioral Health LLC HIPAA Policies and Procedures manual for specific explanations regarding these cases. The following circumstances do not require your authorization: to employers (for medical surveillance activities); concerning victims of abuse, neglect, or domestic violence; to health oversight agencies; for judicial/administrative  proceedings; for law enforcement purposes; for approved research; to correctional institutes; to avert a serious threat to health or safety; for worker’s compensation purposes; and relating to decedents.

7. You have the right to revoke your authorization at any time to stop future uses and/or disclosures expect to the extent that Anew Behavioral Health LLC has already undertaken an action in reliance upon your authorization.

8. Anew Behavioral Health LLC may send appointment reminders and other similar materials to your home unless you provide us with alternative instructions.

9. Anew Behavioral Health LLC may contact you about treatment alternatives or other health related benefits and services.

10. You have the right to request the receipt of confidential communications by alternative means or at alternative locations as long as it is reasonably easy for Anew Behavioral Health LLC to do so.

11. If Anew Behavioral Health LLC informs you about the disclosure in advance and you do not object, Anew Behavioral Health LLC may share with your family, friends, or others involved in your care, information directly related to their involvement in your care, or payment for your care. Anew Behavioral Health LLC may also share PHI with these people to notify them about your location, general condition, or death.

12. You have the right to request restrictions on uses and disclosures of information in your file. Anew Behavioral Health LLC is not required to agree to requested restrictions.

13. You have the right to receive confidential communications of PHI, and you also have the right to inspect, copy, and amend your PHI as permitted under the regulations of HIPAA.

14. You have the right to receive a list of when, to whom, for what purpose, and what content of your PHI has been released other than instances of disclosure: for treatment, payment, and operations; to you, your family, or the facility Director; or pursuant to your written authorization. The list will not include any disclosures made for national security purposes, to law enforcement officials or correctional facilities, or disclosures made before April 14, 2003. Anew Behavioral Health LLC will respond to your written request for such a list within 60 days of receiving it. Your request can relate to disclosures going as far back as 7 years.

15. You may complain to Anew Behavioral Health LLC and to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.

Substance Abuse 

1. This information has been disclosed to you from records protected by federal confidentiality rules (42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is not sufficient for this purpose (see 42 CFR 2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at 42 CFR 2.12(c)(5) and 42 CFR 2.65.

We may not disclose any information about you unless you authorize the disclosure in writing, except as specified below.

2. We may disclose information about you if a court orders the disclosure.

3. We may disclose information about you in a medical emergency, to permit you to receive needed treatment.

4. We may disclose information about you for purposes of program evaluation, audits, or research.

5. We may disclose information if you commit a crime on our premises or against any person employed with us, or if you threaten to commit such a crime.

6. We are required to disclose information about you if we suspect child abuse or neglect.

7. Except as stated in this notice, you have the same rights and protections with respect to your health information as described in our general Notice of Privacy Practices.