Agency for Health Care Administration Notice of Privacy Practices

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Printable Versions:
Privacy Notice in English [22.93KB ,PDF]
Privacy Notice in English/Spanish [ ,PDF]
Privacy Notice in English/Creole [ ,PDF]

A county-by-county directory with contact information for local area:
Consumer Relations Representatives

AHCA’s Responsibilities

The Agency for Health Care Administration’s Medicaid program is required by law to maintain the privacy of your protected health information. We must provide you with notice of its legal duties and privacy practices with respect to your health information. We must also follow the terms of this notice, which becomes effective on September 22, 2013.

Note You do not need to respond to this notice

The Agency for Health Care Administration is required by law to maintain the privacy of your protected health information in our custody.  We must provide you with notice of our legal duties and privacy practices with respect to your health information.  We must also follow the terms of this notice.

How AHCA Uses and Safeguards your Health Information

If you are a Medicaid/MediKids recipient, we use your health information to pay for your health services and to operate the Medicaid program.  We may also use your health information to tell you about treatment alternatives or other health-related benefits and services.

The following are some examples of how we may use your health information

AHCA may also use and disclose your health information as permitted by law, such as

Other uses or disclosures of your protected health information require your or your personal representative’s written authorization. For example, we will not use or disclose psychotherapy notes without your written authorization or as allowed by law.  We will not use or disclose your protected health information for marketing purposes without your written authorization and we will not sell your protected health information without your written authorization.  We also are prohibited by law from using or disclosing genetic information for insurance underwriting purposes.  At any time, you may revoke authorizations in writing.  If you cannot give your authorization due to an emergency, we may release your health information if it is in your best interest.

Your Health Information Rights

You have the following rights with respect to your protected health information

Contact Information

If you have any questions, wish to make a request regarding your health information, or would like another paper copy of this notice, please contact the AHCA Medicaid office in your area at the telephone number listed below or call toll-free, (850)303-2422. We may ask you to make the request in writing.

Area Phone
Area 1 Pensacola (850) 595-2300
Area 4 Jacksonville (904) 798-4200
Area 8 Ft. Myers (239) 335-1300
Area 2A Panama City (850) 767-3400
Area 5 St. Pete (727) 552-1900
Area 9 West Palm Beach (561) 712-4400
Area 2B Tallahassee (850) 412-4002
Area 6 Tampa (813) 350-4800
Area 10 Ft. Lauderdale (954) 958-6500
Area 3A Gainesville (386) 462-6200
Area 7 Orlando (407) 420-2500
Area 11 Miami (305) 593-3000
Area 3B Ocala (352) 840-5720

Filing a HIPAA Complaint

If you believe your privacy rights have been violated by AHCA or one of its employees, you may file a complaint with AHCA and/or the Secretary of the Department of Health and Human Services at the addresses below.  You will not be retaliated against for filing a complaint.

Privacy Officer
Agency for Health Care Administration
2727 Mahan Drive, Mail Stop #4
Tallahassee, Florida 32308
(850) 412-3960

Secretary
Department of Health and Human Services
200 Independence Ave. SW
Washington, D.C. 20201
(800) 368-1019

Future Changes to the Notice of Privacy Practices

AHCA reserves the right to change the terms of this notice and to make new notice provisions effective for all protected health information that we maintain. If we make a material revision to this notice, we will send a revised copy of the notice to recipient households within sixty (60) days of the revision.

Who receives the Notice of Privacy Practices

We send this notice to every recipient household. This notice applies to all Florida Medicaid recipients.

Effective 9/22/2013

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