Serving Northern Virginia571-395-3520Nu.start@verizon.net

Protected health information

HIPAA Notice of Privacy Practices

This Notice of Privacy Practices explains how NuStart Behavioral Health LLC may use and disclose protected health information, how we safeguard it, and the rights available to the people we serve.

Your privacy matters.

We are required by law to maintain the privacy and security of protected health information, provide this Notice, follow the Notice currently in effect, and notify affected individuals following a breach of unsecured protected health information when required by law.

Learn about your HIPAA rights

How information may be used or disclosed

Uses permitted without a separate authorization

We may use or disclose protected health information as federal and Virginia law permits for the following purposes. We limit information to what is reasonably necessary when the minimum-necessary rule applies.

Treatment

To provide, coordinate, or manage your care and to communicate with health professionals and authorized service partners involved in your treatment.

Payment

To verify eligibility, obtain authorization, submit claims, collect payment, and respond to health-plan or funding-source reviews.

Health-care operations

For quality improvement, supervision, training, licensing, accreditation, audits, compliance, business management, and other lawful operations.

Care coordination

To coordinate authorized services with CSBs, CSA teams, schools, hospitals, case managers, and other providers when permitted by law.

Other situations permitted or required by law

Information may also be disclosed when legally permitted or required, including for public-health and health-oversight activities; suspected child or adult abuse or neglect; judicial, administrative, or law-enforcement processes that meet legal requirements; workers’ compensation; organ and tissue donation; coroners or medical examiners; and preventing or reducing a serious and imminent threat to health or safety. We may share information with family members or others involved in your care when you agree, do not object after being given an opportunity, or when professional judgment and law permit during incapacity or an emergency.

Your authorization

Some disclosures require your written permission

Uses or disclosures not otherwise described in this Notice generally require a valid written authorization. This includes most uses and disclosures of psychotherapy notes, most marketing communications, and any sale of protected health information, except where the law provides otherwise. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Substance-use-disorder records may receive additional protection. When applicable, NuStart follows 42 C.F.R. Part 2 and other federal and Virginia requirements governing those records. Read 42 C.F.R. Part 2.

Your rights

You may ask us to take these actions

Inspect and obtain a copy

You may ask to inspect or receive an electronic or paper copy of health information maintained in your designated record set, subject to limited legal exceptions. Reasonable, cost-based fees may apply.

Request a correction

You may ask us to amend health information you believe is incorrect or incomplete. If we deny the request, we will explain the decision in writing and describe your rights.

Request confidential communications

You may ask us to contact you in a particular way or at a different location. We will accommodate reasonable requests.

Request restrictions

You may ask us not to use or disclose certain information for treatment, payment, or operations. We are not always required to agree, except in circumstances required by law, including certain disclosures to a health plan when you have paid in full out of pocket.

Receive an accounting of disclosures

You may request a list of certain disclosures made during the legally applicable period. The list does not include every disclosure, such as many disclosures for treatment, payment, operations, or those you authorized.

Receive this notice

You may request a paper or accessible copy of this Notice at any time, even if you agreed to receive it electronically.

Choose a representative

A person with legal authority to act for you may exercise your privacy rights. We will verify that authority before taking action.

Raise a privacy concern

You may contact NuStart’s Privacy Officer with questions or concerns about how your protected health information is handled.

Changes to this Notice

We may revise our privacy practices

We reserve the right to change this Notice and make the revised Notice effective for health information we already maintain as well as information we receive in the future. The current version will be posted on this website and available at our office. The effective date appears at the top of the Notice.

Questions, requests, or privacy concerns

Contact the NuStart Privacy Officer

Contact us to exercise a privacy right, request a paper copy, ask a question, or report a privacy concern.

NuStart Behavioral Health LLC
Privacy Officer

6564 Loisdale Court, Suite 600
Springfield, VA 22150

571-395-3520
Nu.start@verizon.net
Secure fax: 571-349-0764