LifePath provides a wide range of services that enable elders and persons with disabilities to stay at home in the community. In order to establish eligibility and provide services, LifePath may have to collect your personal and/or health information.
Examples of personal health information may include, but is not limited to: your medical history and current diagnoses, medications, and any treatments or interventions you receive.
By law, LifePath must:
- protect the privacy of your health information as described in this notice;
- explain our privacy practices to you; and
- notify you if your health information is obtained by an unauthorized person or if there is a breach in security.
Except as described below, LifePath can not use or share your health information with anyone without your written permission. You may cancel your permission, in writing, at any time.
Please note that we cannot take back any health information we used or shared when we had your permission.
LifePath may use or share your health information:
- with various health professionals including, but not limited to: primary care physicians, other physician specialists and their office medical staff, hospitals, rehabilitation facilities, health insurances or nursing facilities, as part of managing your care;
- when communicating with family members or other persons identified as a contact person for your care or your general condition;
- for payment activities, such as verifying if you are eligible for health benefits, and receiving payment for services you receive;
- with professionals/organizations necessary to operate our programs and coordinate your services including, but not limited to: our provider vendors, government agencies that give you benefits or services, health-oversight agencies (such as MassHealth or the Centers forMedicare and Medicaid Services, and any other entity/activity required by law, including fraud and abuse investigations;
- for research projects that meet privacy requirements which help us evaluate or improve LifePath’s programs or to raise funds for charitable purposes;
- to prevent or respond to an immediate and serious health or safety emergency;
- to tell you about new benefits and services, or health-care choices you have; and
*You have the right:
- to see and get a copy of personal health information. LifePath may charge you to cover
- certain costs, such as copying and postage;
- to ask LifePath to change your health information if you think it is wrong or incomplete. You
- must identify what health information you want us to change, and why;
- to ask LifePath to limit the use or sharing of your health information, with certain exceptions;
- to obtain details of who LifePath has shared your health information with, and;
- to receive a paper copy of this notice at any time. By law, LifePath must give you this notice explaining that we protect your health information. If changes occur, we will notify you of these changes and provide you with an updated copy of this form.
*Any request listed above must be made in writing. You may have someone acting as Power of Attorney / Attorney-In Fact, Health Care Proxy Agent (if invoked), Guardian, or Conservator make these requests in writing on your behalf. LifePath requires a copy of the aforementioned documents for verification.
LifePath takes your privacy very seriously. If you would like to exercise any of these, or if you feel that LifePath has violated your privacy rights, please contact LifePath’s Privacy Officer in at the following address:
Barbara Bodzin, Privacy Officer
101 Munson St., Suite 201
Greenfield, MA 01301
Filing a complaint or exercising your rights will not affect your covered services. You may also file a complaint with the U.S. Secretary of Health and Human Services.
For more information, or if you need help understanding this notice, call LifePath Monday through Friday, 9 a.m.–5 p.m.