Effective Date: October 1, 2026
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Harmony Health Services Group Home is required by law to maintain the privacy of protected health information, provide you with this notice describing our legal duties and privacy practices, and notify affected individuals following a breach of unsecured protected health information when notification is required by law. We must follow the terms of the Notice of Privacy Practices currently in effect.
Our Responsibilities
We are required by law to protect the privacy and security of your protected health information. We will use or disclose your health information only as permitted or required by law or as described in this notice.
When your written authorization is required for a use or disclosure, you may revoke that authorization in writing, except to the extent we have already relied upon it.
How We May Use and Disclose Your Health Information
We may use or disclose your protected health information without your written authorization for the following purposes when permitted by applicable law.
For Treatment. We may use and disclose your health information to provide, coordinate, or manage your care and related services. This may include sharing relevant information with caregivers, physicians, case managers, pharmacies, mental health providers, and other healthcare professionals involved in your care.
For Payment. We may use and disclose your health information to obtain payment for services we provide or to assist with payment-related activities. This may include disclosures to health plans, government programs, waiver programs, and other payers.
For Health Care Operations. We may use and disclose your health information as necessary to operate our organization, improve the quality and safety of services, conduct quality assessment activities, train staff, and meet applicable licensing, regulatory, and compliance requirements.
Other Ways We May Use or Disclose Your Information Without Your Written Authorization
We may use or disclose your health information without your written authorization when permitted or required by applicable law. Examples include:
- Reporting suspected abuse, neglect, or exploitation when required or permitted by law.
- Public health activities, as authorized or required by law.
- Activities of government agencies that oversee healthcare, licensing, and compliance.
- Responding to a court order, subpoena, or other lawful legal process when applicable legal requirements are satisfied.
- Certain law enforcement purposes as permitted or required by law.
- Preventing or lessening a serious and imminent threat to the health or safety of a person or the public.
- Disclosures to coroners and medical examiners as permitted or required by law.
- Disclosures to funeral directors as permitted by law.
- Workers’ compensation purposes as authorized or required by law.
- Disclosures to business associates that perform services on our behalf when a written agreement requires them to appropriately safeguard protected health information.
We may also make other uses and disclosures that are permitted or required under applicable federal or state law.
Uses and Disclosures Requiring Your Written Authorization
Certain uses and disclosures of protected healtPrivacy Officerh information require your written authorization.
When applicable, we will obtain your written authorization before:
- Using or disclosing psychotherapy notes;
- Using or disclosing protected health information for marketing purposes when authorization is required; or
- Selling protected health information.
Other uses and disclosures that are not otherwise permitted or required by law will require your written authorization.
You may revoke an authorization in writing at any time, except to the extent we have already relied upon the authorization.
Certain health information may be subject to additional privacy protections under federal or state law. If Harmony Health Services Group Home maintains records subject to the federal Substance Use Disorder Confidentiality regulations under 42 CFR Part 2, we will comply with the additional requirements applicable to those records.
Your Rights
You have the following rights regarding your protected health information.
Right to Access. You may request to inspect or obtain a copy of your protected health information maintained by us. We generally must act on your request within 30 days. In certain circumstances, the law permits an extension of the response period. We may charge a reasonable, cost-based fee when permitted by law.
Right to Request an Amendment. You may ask us to correct or amend health information that you believe is incorrect or incomplete. We may deny your request in certain circumstances permitted by law. If we deny your request, we will provide you with a written explanation and information about your rights concerning the denial.
Right to an Accounting of Disclosures. You may request a list of certain disclosures of your protected health information made by us during the six years before the date of your request, subject to exceptions provided by law.
Right to Request Restrictions. You may ask us to restrict how we use or disclose your health information for treatment, payment, or healthcare operations. We are not required to agree to most restriction requests. However, when applicable, we must agree to a request not to disclose information to a health plan for payment or healthcare operations if the information relates solely to a service or item that you or someone on your behalf has paid for completely out of pocket and the disclosure is not otherwise required by law.
Right to Confidential Communications. You may ask us to communicate with you about your health information in a specific way or at a specific location. We will accommodate reasonable requests as required by applicable law.
Right to a Paper Copy of This Notice. You may request a paper copy of this Notice of Privacy Practices at any time, even if you have agreed to receive the notice electronically.
Right to Choose Someone to Act for You. If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices regarding your health information to the extent authorized by law.
Right to Be Notified of a Breach. You have the right to receive notification following a breach of your unsecured protected health information when notification is required by law.
Changes to This Notice
We may change this notice and our privacy practices at any time, as permitted by applicable law. Any changes will apply to the protected health information we maintain, including information created or received before the change.
The current version of this notice will be made available on our website and at our facility. The effective date will be shown at the beginning of the notice.
Questions or Complaints
If you have questions about this Notice of Privacy Practices or believe your privacy rights have been violated, you may contact Harmony Health Services Group Home using the information below.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
You will not be retaliated against for filing a privacy complaint.
Harmony Health Services Group Home
Privacy Officer: Omisakin Omidiran
Address: 317 26th Avenue N, Minneapolis, MN 55411
Phone: 214-436-1801
Fax: 612-521-4445
Email: info@harmonyhealthllc.com
U.S. Department of Health and Human Services, Office for Civil Rights
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/complaints/index.html