A PDF copy of this notice is available for download.
This notice describes how medical information about your child may be used and disclosed by Behavioral Innovations and how you can get access to this information. Please review it carefully.
You have the right to:
- Get a copy of your child’s paper or electronic medical record
- Correct your child’s paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your child’s information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your child’s privacy rights have been violated
You have some choices in the way that we use and share information as we:
- Tell your family and friends about your child’s condition
- Provide disaster relief
- Provide mental and behavioral health care
- Market our services and sell your child’s information
Our Uses and Disclosures
We may use and share your child’s information as we:
- Treat your child
- Run our organization
- Bill for services provided to your child
- Help with public health and safety issues
- Do research
- Comply with the law
- Work with a medical examiner or funeral director
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
When it comes to your child’s health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your child’s medical record
- You can ask to see or get an electronic or paper copy of your child’s medical record and other health information we have about your child. Ask us how to do this.
- We will provide a copy or a summary of your child’s health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your child’s medical record
- You can ask us to correct health information about your child that you think is incorrect or incomplete. Ask us how to do this.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone), or to send mail to a different address.
- We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your child’s care.
- If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your child’s health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
- You can ask for a list (accounting) of the times we’ve shared your child’s health information for six years prior to the date you ask, who we shared it with, and why.
- We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
- If you have given someone medical power of attorney for your child, or if someone else is your child’s legal guardian, that person can exercise your rights and make choices about your child’s health information.
- We will make sure the person has this authority and can act for you, before we take any action.
File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your child’s rights by contacting us using the information on page 4.
- You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your child’s information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- Share information with your family, close friends, or others involved in your child’s care
- Share information in a disaster relief situation
If you are not able to tell us your preference, for example if you are unreachable, we may go ahead and share your child’s information if we believe it is in your child’s best interest. We may also share your child’s information when needed to lessen a serious and imminent threat to health or safety.
In these cases, we never share your child’s information unless you give us written permission:
- Marketing purposes
- Sale of your information
Our Uses and Disclosures
How do we typically use or share your child’s health information?
We typically use or share your child’s health information in the following ways:
To treat your child
We can use your child’s health information and share it with other professionals who are treating your child.
Example: A BCBA treating your child may ask another BCBA or provider about your child’s overall health condition.
To run our organization
We can use and share your child’s health information to run our practice, improve your child’s care, and contact you when necessary.
Example: We use health information about your child to manage your child’s treatment and services.
To bill you for services we provide your child
We can use and share your child’s health information to bill and get payment from health plans or other entities.
Example: We give information about your child to your health insurance plan so it will pay for services your child receives.
How else can we use or share your child’s health information?
We are allowed or required to share your child’s information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
To help with public health and safety issues
We can share health information about your child for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
To do research
We can use or share your child’s information for health research. However, we will specifically ask for your written permission before we do this.
To comply with the law
We will share information about your child if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
To work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
To address workers’ compensation, law enforcement, and other government requests
We can use or share health information about your child:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
To respond to lawsuits and legal actions
We can share health information about your child in response to a court or administrative order, or in response to a subpoena.
- We are required by law to maintain the privacy and security of your child’s protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your child’s information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your child’s information other than as described here, unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind. For more information see: https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about your child. The new notice will be available upon request, in our office, and on our website.
- This notice is effective as of June 1, 2022.
- If you have a question, concern, or complaint regarding how your health information is protected, used, and/or disclosed, you may contact Behavioral Innovations’ Compliance Department:Email:
c/o BI Compliance Department
14131 Midway Rd., Ste. 800
Addison, TX 75001
- BI will never sell nor market your child’s personal information.
- As a parent or guardian, you will have access to your child’s health and treatment information via our electronic health record system, CentralReach. Information that you access via this system, and which you release or disclose by your own actions, is not covered under this notice.