HIPAA Notice of Privacy Practices (NPP)

1. OUR LEGAL DUTIES

We are required by law to:

• Maintain the privacy and security of your PHI
• Provide you with this Notice of our legal duties and privacy practices
• Notify you if a breach occurs that may have compromised the privacy or security of your PHI
• Follow the terms of this Notice currently in effect

2. HOW WE MAY USE AND DISCLOSE YOUR PHI

We may use and disclose your PHI without your written authorization for the following purposes:

A. Treatment

We may use and share your PHI to provide, coordinate, or manage your care.

Examples:

• Communicating with caregivers or healthcare providers
• Coordinating care plans
• Sharing information necessary to deliver services

B. Payment

We may use and disclose your PHI to obtain payment for services.

Examples:

• Submitting claims to Medicaid, Medicare, VA programs, or other insurers
• Verifying eligibility
• Billing and payment processing

C. Healthcare Operations

We may use and disclose PHI to operate our business and improve care.

Examples:

• Quality improvement activities
• Staff training
• Compliance audits
• Business planning and administrative activities

D. As Required by Law

We may disclose PHI when required by federal, state, or local law.

Examples:

• Reporting suspected abuse or neglect
• Responding to court orders or subpoenas
• Public health reporting

E. To Avert a Serious Threat

We may disclose PHI when necessary to prevent or lessen a serious threat to health or safety.

3. USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

We will not use or disclose your PHI for the following purposes without your written authorization:

• Marketing communications not related to your care
• Sale of PHI
• Uses not otherwise described in this Notice

You may revoke your authorization at any time in writing.

4. YOUR RIGHTS REGARDING YOUR PHI

You have the following rights:

A. Right to Access

You may request to inspect or receive a copy of your PHI in paper or electronic form

We will generally respond within 30 days. A reasonable fee may apply.

B. Right to Amend

You may request corrections to your PHI if you believe it is incorrect or incomplete.

We may deny your request if it meets certain legal criteria, but we will explain our decision in writing.

C. Right to Request Restrictions

You may request limits on how we use or disclose your PHI.

We are not required to agree to all requested restrictions, but we will comply if legally required to do so.

D. Right to Request Confidential Communications

You may request that we contact you at a specific address, email, or phone number.

E. Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made during the six years prior to your request.

F. Right to a Paper Copy

You may request a paper copy of this Notice at any time.

G. Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

We will not retaliate against you for filing a complaint.

To file a complaint with HHS, visit:
https://www.hhs.gov/ocr/privacy/hipaa/complaints/

5. HOW TO EXERCISE YOUR RIGHTS

To exercise your rights or ask questions about this Notice, contact:

Modani Care – Privacy Officer

254 Nininger Rd, Suite 401
Monroe, NY 10950

Phone: +1-800-333-4101

Email: info@modanicare.com

6. CHANGES TO THIS NOTICE

We reserve the right to change this Notice at any time. Updated versions will be posted on our website and available upon request.

The revised Notice will apply to all PHI we maintain.