Representative Payee

The Health Insurance Portability and Accountability Act (“HIPAA”)
NOTICE OF HIPAA PRIVACY PRACTICES

  • Last updated: June 15, 2020
  • THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Secured

This Notice of HIPAA Privacy Practices (“the Notice”) describes the privacy practices of Love Focus International Association.

Love Focus International Association wants you to know that nothing is more central to our operations than maintaining the privacy of your health information (“Protected Health Information” or “PHI”). PHI is information about you, including basic information that may identify you and relates to your past, present, or future health or condition. We take this responsibility very seriously.
Our Pledge Regarding Your Health Information

We are required by federal and applicable state law, regulations, and other authorities to protect the privacy of your health information and to provide you with this Notice. Our staff is required to protect the confidentiality of your PHI and will disclose your PHI to a person other than you or your personal representative only when permitted under federal or state law. This protection extends to any PHI that is oral, written, or electronic, such as PHI transmitted by facsimile, modem, or other electronic device. This Notice describes how we may use and disclose your PHI. In some circumstances, as described in this Notice, the law permits us to use and disclose your PHI without your express permission. In all other circumstances, we will obtain your written authorization before we use or disclose your PHI.

This Notice also describes your rights and the obligations we have regarding the use and disclosure of your PHI. Under federal and applicable state law, we are required to follow the terms of the Notice currently in effect.
How We May Use and Disclose Your PHI Without Your Permission

TREATMENT, PAYMENT, OR HEALTH CARE OPERATIONS.
Below are examples of how Federal law permits use or disclosure of your PHI for these purposes without your permission: 

HIPAA Notice
  1. Treatment: We do not ourselves engage in treatment, although we may be included in the coordination of treatment activities for individuals by health care providers. Patient Contacts. We may contact you to provide treatment-related services, such as coordination of doctor’s visit, coordination of transport, and other health related benefits and services that may be of interest to you.
  2. Payment: We may contact your insurer, payor, or other agent and share your PHI with that entity to determine whether it will pay for your treatment and the payment amount. We may also contact you about a payment or balance due for treatment-related or other services rendered to you by Love Focus International Association..
  3. Health care operations: Your PHI may be used to monitor the effectiveness of our services.

OTHER SPECIAL CIRCUMSTANCES :
We are permitted under federal and applicable state law to use or disclose your PHI without your permission only when certain circumstances may arise, as described below.

We are likely to use or disclose your PHI for the following purposes:
Business associates: We provide some services through other companies termed “business associates.” Federal law requires us to enter into business associate contracts to safeguard your PHI as required by Love Focus International Association and by law.

Individuals involved in your care or payment for care: We may disclose your PHI to a friend, personal representative, or family member involved in your medical care. For example, if we can reasonably infer that you agree, we may provide your PHI and related information to your caregiver on your behalf.
Disclosures to parents or legal guardians: If you are a minor or under a legal guardianship, we may release your PHI to your parents or legal guardians when we are permitted or required under federal and applicable state law.

Worker’s compensation: We may disclose your PHI to the extent authorized and necessary to comply with laws relating to worker’s compensation or similar programs established by law.

Law enforcement: We may disclose your PHI for law enforcement purposes as required by law or in response to a court order, subpoena, warrant, summons, or similar process; to identify or locate a suspect, fugitive, material witness, or missing person; about a death resulting from criminal conduct; about crimes on the premises or against a member of our workforce: and in emergency circumstances, to report a crime, the location, victims, or the identity, description, or location of the perpetrator of a crime.

As required by law: We must disclose your PHI when required to do so by applicable federal or state law.
Judicial and administrative proceedings: If you are involved in a lawsuit or a legal dispute, we may disclose your PHI in response to, a court or administrative order, subpoena, discovery request, or other lawful process.

Public health: We may disclose your PHI to federal, state, or local authorities, or other entities charged with preventing or controlling disease, injury, or disability for public health activities. These activities may include the following: disclosures to report reactions to medications or other products to the U.S. Food and Drug Administration or other authorized entity; disclosures to notify individuals of recalls, exposure to a disease, or risk for contracting or spreading a disease or condition.

Health oversight activities: We may disclose your PHI to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, and inspections, as necessary for our licensure and for government monitoring of the health care system, government programs, and compliance with federal and applicable state law. You may revoke this authorization at any time by submitting a written notice to our Compliance Office at the address listed below. Your revocation will become effective upon our receipt of your written notice.

You have the following rights with respect to your PHI:

  1. Obtain a paper copy of the Notice upon request. To obtain a copy of this Notice at any time, please find it in the footer of this website or contact Love Focus International Association Compliance Office. The address, telephone and email address are set forth in the box below.
  2. Obtain a paper copy of the Notice upon request. To obtain a copy of this Notice at any time, please find it in the footer of this website or contact Love Focus International Association Compliance Office. The address, telephone and email address are set forth in the box below.
  3. Request an amendment of PHI. If you feel that your PHI is incomplete or incorrect, you may request that we amend it for as long as we maintain the PHI. To request an amendment, submit a written request to Love Focus International Association Compliance Office. Requests must identify: (i) which information you seek to amend, (ii) what corrections you would like to make, and (iii) why the information needs to be amended. We will respond to your request in writing within 60 days (with a possible 30 days extension). In our response, we will either: (i) agree to make the amendment, or (ii) inform you of our denial, explain our reason, and outline appeal procedures. If denied, you have the right to file a statement of disagreement with the decision. We will provide a rebuttal to your statement and maintain appropriate records of your disagreement and our rebuttal.
  4. Receive an accounting of disclosures of PHI. You have the right to request an accounting of your PHI disclosures for purposes other than treatment, payment, or health care operations. This accounting will also exclude disclosures: made directly to you, made with your authorization, made incidentally, made to caregivers, made for notification purposes, and certain other disclosures. To obtain an accounting, submit a written request to Love Focus International Association Compliance Office. Requests must specify the time period, not to exceed six years. We will respond in writing within 60 days of receipt of your request (with a possible 30 days extension). We will provide one accounting per 12-month period free of charge, but you may be charged for the cost of any subsequent accounting. We will notify you in advance of the cost involved, and you may choose to withdraw or modify your request at that time.
  5. Request communications of PHI by alternative means or at alternative locations. You have the right to request that we communicate with you in a certain way or at a certain location. For example, you may request that we contact you only in writing at a specific address. To request confidential communication of your PHI, submit a written request to: Love Focus International Association Compliance Office. Your request must state how, where, or when you would like to be contacted. We will accommodate all reasonable requests. 
  6. Request a restriction on certain uses and disclosures of PHI. You have the right to request a restriction or limitation on our use or disclosure of your PHI by submitting a written request to: Love Focus International Association Compliance Office. You must identify in this request (i) what particular information you would like to limit, (ii) whether you want to limit use, disclosure, or both, and (iii) to whom you want the limits to apply. All requests will be carefully considered, but we are not required to agree to those restrictions. We will provide you with a written response to your request within 30 days. If we do agree to restrict use or disclosure of your PHI, we will not apply the restrictions if the event of an emergency. We also have the right to terminate the restriction if: (i) you agree orally or in writing, or (ii) we inform you of the termination, which becomes effective only with respect to your PHI created or received after we inform you of the termination.

Contact Love Focus International Association Compliance Office at P.O. BOX 37O4 MERCED, CA 95340. Call us at (209) 869-5800.
Our email address is compliance@lovfocus.org
All requests for PHI must include: Patient’s full name, Date of birth, and Address.

Complaints. If you believe your privacy rights have been violated, you can file a complaint with Love Focus International Association Compliance Office at the address above or the Secretary of the United States Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized in any way for filing a complaint.

Changes to this Notice: We reserve the right to change our privacy practices. If we do, we will issue a revised Notice. We reserve the right to make the revised Notice effective for PHI we already have about you as well as any information we receive in the future, as of the effective date of the revised Notice. Upon request to the Compliance Office, Love Focus International Association will provide a revised Notice to you. We will also post the revised Notice on this website. 

Legal disclaimer
The content on this list provides general information. It is not legal advice. This information updates periodically. Information may include links or references to third-party resources or content. We do not endorse the third-party or guarantee the accuracy of this third-party information. There may be other resources that also serve your needs.

A program of Love Focus International Association an approved 501(c)(3) nonprofit tax organization

Employment Application       
Volunteer Application

Terms of Use  Privacy Policy   HIPAA Notice  Contact Us 

108 W Alexander Ave. Merced, CA 95348 
Phone: 1-209-233-9024 
Fax: 1-866-310-8868
Member of FDIC's Money Smart Alliance 
Play 'How Money Smart Are You?' Game
© Copyright 2019 Love Focus International Association - All Rights Reserved