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'`9B5 ¿YF'F6DR4!"XYu^8j]4͟, ]=&Ѭd2uO)aMN8AJ'L?Ovw 'Q%Z:[ouqFtO-6B/ܼo@[s$y׀ʡx q}^Ձ[uJSsƻr/w.r+rd~exzz L!^Z[#U#N % 0: ^ I wU 4Y m | m~ 0c 1u 72m 0w 0 0 0@ 0 0 0 0D 1 72RG 0V 1) 72 1 72i 0U 0~ 0Dn 0 0 0u 0R 0, 0 0 0 0Cv 0 0 0X 0# 0 0 0r! 01" 0@" 0+# 0# 0$ 0% 0Q& 0' 0' 0( 0<E) 1) 72 * 0>* 0N*U=>+O+U,:W- 0U.N.. 0U/ 0U0X0 0(Z1 D+111 AQ23U7B;<B}<~<H======== 0+4> B>\\oswdc06\OCR-HP8150-508F36E0(9 Z6Times New Roman RegularX($USUS.,n.s uz.-nBackup3|xU(;3$2#  0  .3  0  3#37=CIQYag1.a.i.(1)(a)(i)1)a) i)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(#  xGaeimquy}Bullet ListBullets List  = 'USUS.,  _&&:(# HXXOCRHIPAAPrivacy  NN;(#December3,2002 r   RevisedApril3,_2003#XDXHR# _(.3$ !USUS.,  (CEKQW]cioAutoList1A:A:A:A:A:A:A:A:A:(CEKQW]cioAutoList2A:A:A:A:A:A:A:A:A:*+ (_2623  ..(.(3($ !USUS.,      0  (#$  0  *D+J (_25   ," <DL,23  ..  2( 4 <DL2  *A+J (_24   ) <DL)23  ..  2( 4 <DL2  *>+J (_23  ` &<<DL&23  ..  2( 4 <DL2  *;+J (_22   #DL#23  ..  2( 4 <DL2  *8+J (_21    DL 23  ..  2( 4 <DL2  *5+J (_20  h DDL23  ..  2( 4 <DL2  *2+J (_19   L23  ..  2( 4 <DL2  */+J (_18    L23  ..  2( 4 <DL2  * (_1723  Ԁ*DJ (_16   ," <DL,23  Ԁ  2( 4 <DL2  *AJ (_15   ) <DL)23  Ԁ  2( 4 <DL2  *>J (_14  ` &<<DL&23  Ԁ  2( 4 <DL2  *;J (_13   #DL#23  Ԁ  2( 4 <DL2  *8J (_12    DL 23  Ԁ  2( 4 <DL2  *5J (_11  h DDL23  Ԁ  2( 4 <DL2  *2J (_10   L23  Ԁ  2( 4 <DL2  (/J &_9    L23  Ԁ  2( 4 <DL2  ( &_823  (DJ &_7   ," <DL,23   2( 4 <DL2  (AJ &_6   ) <DL)23   2( 4 <DL2  (>J &_5  ` &<<DL&23   2( 4 <DL2  (;J &_4   #DL#23   2( 4 <DL2  (8J &_3    DL 23   2( 4 <DL2  (5J &_2  h DDL23   2( 4 <DL2  (2J &_1   L23   2( 4 <DL2  &/J $_    L23   2( 4 <DL2  <:Default Para xCcgkosw{TrianglesTriangle Bullet=6)&4Hyperlink            (O$\  `&Times New RomanDhttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=K6SCZJFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=28&http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=28&phttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=K6SCZJFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=28&p_search_text=&p_new_search=1(-2$ !USUS.,   Level 1 Level 2 Level 3 Level 4 Level 5(-2$ !USUS.,  (-2$ !USUS.,  http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=56&p($'dxdUhttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7EGHIKLC<< c  'USUS.,   @ HXXAHH %#X#AXDXAH8##XDXXAXDW#AXDXXXD##9%#AHXAXD#HAH#AHH #AXDXAH #AHXAXDO#AXDXAH#AHXAXDCRHI#AXDXAH#AHXAXDPAA#AXDXAH#AHXAXDPrivacy   @  @ #AXDXAHb#AHXAXDKK:%##AXDXAH#AHXAXDDecember3,2002 r  @  @  @   #AXDXAH.#AHXAXDRevisedApril3,2003 4  @  @   ?+ ` hp x %#?#AXDXAH##XDXXAXDM#AXDXXXD K E) (#(#(#(#USUS.,  HXXAHH#AXDXAHH##XDXXAXDg#AXDXXXDAHXAXD#HAH#AHHORWGCz h p @X@E'##!  (#(#  (#(##AXDXAH##XDXXAXD-#AXDXXXDAHXAXD#HAHr#AHH#AXDXAH##XDXXAXD#AXDXXXD @ AHXAXD#HAH8#AHHOSQA=x h p @XE!  8 H"USUS.,   @  8 H"USUS.,   @ http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.phphttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Eany%7E&p_search_text=&p_new_search=1&c$""0  d !USUS.,  ____   __8DXXdd8NOTICE_ԀOFPRIVACYPRACTICES_____  FOR_ԀPROTECTEDHEALTHINFORMATION   _[45_Ԁ_CFR_Ԁ164.520]     _ Background  n  _  The__HIPAA_ԀPrivacy_ԀRulegivesindividualsafundamentalnewrighttobeinformedofthe F  privacy_practices__of_Ԁtheirhealthplansand_ofmost_Ԁ_oftheirhealth_Ԁcareproviders,aswellas_tobe 2t informedoftheirprivacy______________rights_Ԁ_____with_Ԁrespecttotheirpersonalhealthinformation._______________________Healthplans ` andcoveredhealthcareprovidersarerequiredto____develop_Ԁ_and_Ԁ_distributeanotice_Ԁ___________that____providesa  L  clearexplanationoftheserightsandpractices.Thenoticeisintendedtofocusindividualson 8  privacyissuesandconcerns,andtopromptthemtohavediscussionswiththeirhealthplansand $  healthcareprovidersandexercisetheirrights._   __ HowtheRuleWorks      GeneralRule._ThePrivacyRuleprovidesthatan_Ԁindividualhasarighttoadequatenotice ~ ofhowacoveredentitymayuseand_disclose__protected_Ԁhealthinformationabout_theindividual____,_ j aswellas_____hisorher__rights_Ԁandthecoveredentitysobligationswithrespecttothatinformation. V ___________Most_Ԁcoveredentities_mus__t_Ԁdevelopandprovideindividualswith_this_Ԁnoticeof_their__privacy_ B _practices. .p   ThePrivacyRuledoesnotrequirethefollowingcoveredentitiestodevelopanotice: H Yc  0  Yc."0` (#(#  ______Healthcareclearinghouses,iftheonlyprotectedhealthinformationtheycreateor   receiveisasabusinessassociateofanothercoveredentity.See45_CFR_   164.500(b)(1).Yc.U݌` (#` (# Ќ  0   (#(# Yc  0  YcE"0` (#(#  Acorrectionalinstitutionthatisacoveredentity(e.g.,thathasacoveredhealth ! careprovidercomponent).YcEl݌z"` (#` (# Ќ  0   (#(# Yc  0  Yc"0` (#(#  __Agrouphealthplanthatprovidesbenefitsonlythroughoneormorecontractsof R$ insurancewithhealthinsuranceissuersor_HMOs_,andthatdoesnotcreateor >%  receiveprotectedhealthinformationotherthansummaryhealthinformationor *&l! enrollmentor_disenrollment_Ԁinformation.Yc݌'X"` (#` (# Ќ    See45_CFR_Ԁ164.520(a)._ (0!$   ContentoftheNotice.Coveredentitiesarerequiredtoprovideanoticeinplainlanguage *#& that_describes: +#' Ї___Yc    Yc0"0 `   Howthecoveredentitymayuseanddiscloseprotectedhealthinformationabout  an_individual.Yc0W݌` (#` (# Ќ    Yc    YcV"0 `   Theindividualsrightswithrespecttotheinformationandhowtheindividual   mayexercisetheserights,includinghowtheindividualmaycomplaintothe n  coveredentity.YcV}݌Z ` (#` (# Ќ    _Yc    Yc"0 `   Thecoveredentityslegaldutieswithrespecttotheinformation,includinga 2t statementthatthecoveredentityisrequiredbylawtomaintaintheprivacyof ` protectedhealth_information.Yc݌ L ` (#` (# Ќ    Yc    Yc|"0 `   Whomindividualscancontactforfurtherinformationaboutthecoveredentitys $  privacypolicies.Yc|݌ ` (#` (# Ќ    Thenoticemustincludeaneffectivedate.See45_CFR_Ԁ164.520(b)forthespecific   requirementsfordevelopingthecontentofthenotice.     Acoveredentityisrequiredtopromptlyreviseanddistributeitsnoticewheneveritmakes j materialchangestoanyofitsprivacypractices.See45_CFR_Ԁ164.520(b)(3),164.520(c)(1)(_i_)(C) V forhealthplans,and164.520(c)(2)(iv)forcoveredhealthcareproviderswithdirecttreatment B relationshipswithindividuals. .p   ProvidingtheNotice. H Yc  0  Yc"0` (#(#  Acoveredentitymustmakeitsnoticeavailabletoanypersonwhoasksforit.Yc݌ ` (#` (# Ќ  Yc  0  Yct "0` (#(#  Acoveredentitymustprominentlypostandmakeavailableitsnoticeonanyweb  siteitmaintainsthatprovidesinformationaboutitscustomerservicesorbenefits.Yct ݌ ` (#` (# Ќ  Yc  0  Yc!"0` (#(#  HealthPlansmustalso:Yc!!݌z"` (#` (# Ќ  0   (#(#  = (y3 " 3"  0  0` (#(# 3.#23  0 ` (#` (#  Providethenoticetoindividualsthencoveredbytheplannolaterthan R$ April14,2003(April14,2004,forsmallhealthplans)andtonew >%  enrolleesatthetimeofenrollment. 3.#{#݌*&l! (# (# Ќ  " 3"  0  0` (#(# 3$23  0 ` (#` (#  Providearevisednoticetoindividualsthencoveredbytheplanwithin60 'X" daysofamaterialrevision. 3$1%݌(D # (# (# Ќ  " 3"  0  0` (#(# 3=&23  0 ` (#` (#  Notifyindividualsthencoveredbytheplanoftheavailabilityofandhow (0!$ toobtainthenoticeatleastonceeverythreeyears. 3=&&݌)"% (# (# Ќ  Yc  0  Yc'"0` (#(#  CoveredDirectTreatmentProvidersmustalso:Yc''݌+#'` (#` (# Ќ  0   (#(# ! ! = (yy= " 3"  0  0` (#(# 3H)23  0 ` (#` (#  Providethenoticetotheindividualnolaterthanthedateoffirstservice  delivery(aftertheApril14,2003compliancedateofthePrivacyRule)   and,exceptinanemergencytreatmentsituation,makeagoodfaitheffort   toobtaintheindividualswrittenacknowledgmentofreceiptofthenotice. n  Ifanacknowledgmentcannotbeobtained,theprovidermustdocumenthis Z  orhereffortstoobtaintheacknowledgmentandthereasonwhyitwasnot F  obtained. 3H))݌2t (# (# Ќ  " 3"  0  0` (#(# 3h,23  0 ` (#` (#  WhenfirstservicedeliverytoanindividualisprovidedovertheInternet, ` throughemail,orotherwiseelectronically,theprovidermustsendan  L  electronicnoticeautomaticallyandcontemporaneouslyinresponsetothe 8  individualsfirstrequestforservice.Theprovidermustmakeagoodfaith $  efforttoobtainareturnreceiptorothertransmissionfromtheindividualin   responsetoreceivingthenotice. 3h,,݌  (# (# Ќ  " 3"  0  0` (#(# 3F/23  0 ` (#` (#  Inanemergencytreatmentsituation,providethenoticeassoonasitis   reasonablypracticabletodosoaftertheemergencysituationhasended.In   thesesituations,providersarenotrequiredtomakeagoodfaitheffortto ~ obtainawrittenacknowledgmentfromindividuals. 3F//݌j (# (# Ќ  " 3"  0  0` (#(# 3s123  0 ` (#` (#  Makethelatestnotice(i.e.,theonethatreflectsanychangesinprivacy V policies)availableattheprovidersofficeorfacilityforindividualsto B requesttotakewiththem,andpostitinaclearandprominentlocationat .p thefacility. 3s11݌\ (# (# Ќ  0   (#(# Yc  0  Yc3"0` (#(#  Acoveredentitymayemailthenoticetoanindividualiftheindividualagreesto 4 receiveanelectronicnotice.Yc33݌ ` (#` (# Ќ    See45CFR164.520(c)forthespecificrequirementsforprovidingthenotice.    OrganizationalOptions. ! 0  Yc  Yc5"0` (#(#  Anycoveredentity,includingahybridentityoranaffiliatedcoveredentity,may f# choosetodevelopmorethanonenotice,suchaswhenanentityperformsdifferent R$ typesofcoveredfunctions(i.e.,thefunctionsthatmakeitahealthplan,ahealth >%  careprovider,orahealthcareclearinghouse)andtherearevariationsinits *&l! privacypracticesamongthesecoveredfunctions.Coveredentitiesareencouraged 'X" toprovideindividualswiththemostspecificnoticepossible.Yc55݌(D #` (#` (# Ќ  Yc    YcW8"0 `   Coveredentitiesthatparticipateinanorganizedhealthcarearrangementmay )"% choosetoproduceasingle,jointnoticeifcertainrequirementsaremet.For *#& example,thejointnoticemustdescribethecoveredentitiesandtheservice +#' deliverysitestowhichitapplies.Ifanyoneoftheparticipatingcoveredentities  providesthejointnoticetoanindividual,thenoticedistributionrequirementwith  respecttothatindividualismetforallofthecoveredentities.See45CFR   164.520(d).YcW8~8݌ ` (#` (# Ќ  AXDXXX     #XDXXAXDf;#AXDXXXD;FrequentlyAskedQuestionsO;#XDXXAXD;#AXDXXXD    <0  ToseePrivacyRuleFAQs,clickthedesiredlinkbelow:6Yft(#(# #XDXXAXDN<#AXDXXXD X#XDXXAXD3=# 4Js@O  5  @O  <@O=   6=@  7=AXDXXXD4B @O  5  FAQsonNoticeofPrivacyPractices6>@O?  7 /?#XDXXAXD>#AXDXXXD   >L   X#XDXXAXD?#dAXDXXXDd#XDXXAXDU@# X9%4 4 <DLX94N @O  5  @O  dAXDXXXDFAQsonALLPrivacyRuleTopics d@O@   #XDXXAXDnA#AXDXXXD6@@O  7 -AdAHXAXDԀ $  #AXDXAHB##XDXXAXDB#mPFQ8ADAXXdXXd8<( ` hp x 44X<AXDXXXDAHXAXD(Y#AXDXAHC##XDXXAXDC#AXDXXXDoucanalsogotod#XDXXAXD[D#4T 2 @O  5  @O  AXDXXXDhttp://_answers.hhs.gov_/cgibin/_hhs.cfg_/_php_/_enduser_/_std_alp.php_@D  #XDXXAXD/E#AXDXXXD6D@  7 !DdAHXAXD,#AXDXAHG##XDXXAXDF#AXDXXXDthen   select"PrivacyofHealthInformation/HIPAA"fromtheCategorydropdownlistand   clicktheSearchbutton.d#XDXXAXDhG#AXDXXXD)AHXAXD#HAHGH#AHH     #HAHH##XDXHgH#AXDXXXDO; #XDXXAXD/I#4C @O  5  ?      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