NOTICE OF PRIVACY PRACTICES: Updated 10/12/2021
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED, DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.
Arisa Health, Inc. is a 501(c)(3) non-profit organization incorporated in the State of Arkansas in 2020. This organization brought together 4 of Arkansas’ leading behavioral health providers to form the state’s premier integrated behavioral health system. Member affiliates integrate the professional staff and services of Professional Counseling Associates, Mid-South Health Systems, Ozark Guidance, and Counseling Associates. As such, information held by any of these legacy organizations may be shared, as needed, with the affiliated organizations.
Protected Health Information (PHI) means individually identifiable health information, as defined by HIPAA, that is created or received by the Arisa Health or its Affiliates as it relates to the past, present or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present or future payment for the provision of health care to an individual; and that identifies the individual or for which there is a reasonable basis to believe information can be used to identify the individual. PHI is any information, including verbal, electronic and on paper that is created or received by Arisa Health or its Affiliates for purposes of providing health care to patients and for purposes of billing and payment for those services. PHI includes information about behavioral healthcare needs, the services we provide, test and evaluation results, notes written by providers and clinical staff, plus other relevant information, such as your name, address, and telephone number, we need in order to provide quality healthcare services. PHI includes information of persons living or deceased.
OUR PLEDGE REGARDING MEDICAL INFORMATION
We understand that medical information about you and your health is personal. We are committed to protecting your PHI. We create a record of the care and services you receive at Arisa Health and its Affiliates. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all PHI generated by Arisa Health and its Affiliates, whether made by Arisa Health and its Affiliates personnel or your personal doctor. Your personal doctor may have different policies or notices regarding the doctor’s use and disclosure of your medical information created in the doctor’s office or clinic. This notice will tell you about the ways in which we may use and disclose your PHI. We also describe your rights and certain obligations we have regarding the use and disclosure of your PHI.
We will compile and maintain a medical record on you, using it: (1) to assist us and other healthcare professionals in providing you care and treatment; (2) to document and communicate to others a detailed description of the care you have received, and the status of your behavioral health; (3) to assist you, your insurer or other third-party payer in paying for healthcare services; (4) to meet a variety of legal obligations, some of which require us to communicate with third parties; and (5) to assist in training and other operational functions that help us maintain the highest standards of care.