Notice of Privacy Policy
We value your
affiliation with the MJAAA and take your right to personal
privacy seriously. We will inform you of our policies for
collecting, using, securing and sharing personal health information
and other non-public personal information,
initially and every year that you continue your affiliation with
this Agency.
Privacy Principles
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We do not sell personal
private information including names and addresses.
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We do not provide any
personal individual information to persons or organizations outside
the MJAAA, who are doing business on behalf of this Agency, without
your written consent.
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We do not share any
personal individual information to persons or organizations that are
potential providers of service without your written consent.
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The MJAAA will collect
only the minimum personal information required for your type of
affiliation with this Agency.
Information We May Collect
We
may obtain information necessary to provide you with employment or
services, or to enroll you in a program. Information we may
collect, depending on your affiliation with the Agency, may include:
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Personal data and
information related to health, functioning and finances, as required
by the Pa. Department of Aging, to com-plete
the OPTIONS assessment process for determining level of care and
eligibility.
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Personal information
(necessary to complete the assessment process) from formal and
informal supports including physicians and family members (with your
permission).
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Information required
for employment or required reporting, including name, address,
social security number ethnicity, gender, employment history,
education and experience.
Information
Disclosure
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Personal information may be used to further your
affiliation with this Agency. It may be used for employment
purposes (if appropriate), to enroll you in a program or to assess
your needs for services.
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There may be times that aggregate information will be
shared (i.e. for reporting and statistics). This information
will not identify personal information such as names of individuals.
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Information may be
shared with law enforcement or with public health officials when
required by law.
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If you receive
services from this agency, information may also be shared as
follows:
1.
To communicate with health care
professionals who are caring for you.
2. To verify that services were actually
received and to receive payment for
these services.
3. To share necessary information
with the service provider that will be
providing you with help.
The MJAAA will not use or disclose your protected health information
except as described in this notice, as authorized by law, or with
your written permission.
Your Rights
You have the right to:
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To request a
restriction on certain uses and disclosures of your protected health
information.
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Receive a copy of this
notice initially and annually as long as you continue your
affiliation with this agency.
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To expect that all
personal and protected health information be treated as
confidential.
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Inspect and copy your
protected health information.
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Revoke your consent to
release certain protected health information.
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To expect that the
policies in this document be followed.
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To file a complaint if
you feel your rights have been violated.
The MJAAA may change its
privacy practices and make the new privacy practices effective for
all protected health information we maintain. Should this
occur, we will mail revised notice to the address you have supplied
us.
For More Information
If you have any
questions and would like additional information you may contact the MJAAA at:
MJ Area Agency
on Aging Inc.
1 Buena Vista
Circle
Lewistown, Pa.
17044
(717) 242-0315
or
1-800-348-2277
Your inquiry
will be directed to the appropriate person or department.