Notices of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. I understand that my health information is generally confidential, however, there are both mandatory and permissive expectations to confidentiality, including the following:

1.) To treat you

In order to provide you with the best care, Array AtHome may use your health and treatment information in the following ways:

Communication among Array AtHome providers and other medical providers for the purposes of treatment needs, treatment planning, progress reporting and review, staff supervision, incident reporting, medication administration.

Example: An Array AtHome clinician treating you asks your primary care physician about your overall health condition.

You can ask us not to use or share certain health information if you pay out-of-pocket in full, unless we are required by law or if it may affect your care to share that information.

2.) Manage our organization

We can use and share your health information to run our practice, improve your care and contact you when necessary. This may also include medical record maintenance, quality review and other treatment related processes.

Example: We use health information about you to manage your treatment and services and provide any necessary feedback to the clinicians.

3.) Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

4.) Communication with third-parties

We use and share your health information with business associates who are required by an agreement with us to protect your information to the same standard or greater than we require. This may include third parties such as clinical laboratories.

Example: An Array AtHome provider sends you to get bloodwork done at a local clinic and that clinic needs to send Array AtHome your test results.

5.) As required by law

Information disclosed by you during the course of your treatment is generally confidential. However, there are both mandatory and permissive expectations to confidentiality, including, but not limited to:

1. Public health activities such as reporting child, elder and dependent adult abuse;
2. Law enforcement purposes such as expressed threats of violence towards an ascertainable victim or to alert law enforcement to specific criminal activity;
3. Judicial and administrative proceedings (including court orders, court-ordered warrants, subpoenas) and other administrative requests in the event your mental or emotional state is an issue in a legal proceeding;
4. Health oversight activities such as disclosing PHI to health oversight agencies, including audits and investigations necessary for oversight of the health care system and government benefit programs;
5. Worker's compensation information as allowed by worker's compensation laws;
6. Otherwise as required by law.

Other rights or choices you have about how your information may be disclosed, received or shared.

1. Sharing information with your family, close friends, or others involved in your care if you have agreed for us to do so.
2. You have the right to inspect and copy your PHI. We may impose a fee for the costs of copying, mailing, labor and supplies associated with your request. Array AtHome may also deny your request in certain limited circumstances.
3. Marketing purposes. We will never share your information or sell your information to a third-party unless you give us written permission to do so. However, you may receive information about Array AtHome's own services.
4. Amendment. You have a right to request Array AtHome to amend your PHI if you believe it is incorrect or incomplete and maintained by Array AtHome. However, we may deny your request by sending you a written notice of the denial.
5. Contact For Information or With a Complaint. If you feel your rights may have been violated, you can contact us or file a complaint with the U.S. Department of Health and Human Services for Civil Rights. We will not retaliate against you for filing a complaint. You may submit a statement in writing to: Array AtHome 1120 Route 73, Suite 300, Mt. Laurel, NJ 08054 Attn: Privacy Officer
6. You have the right to be notified in the event that Array AtHome (or a Array AtHome Business Associate) discovers a breach of PHI.