Privacy Policy
ARC LLC – ABA Therapy ServicesEffective Date: October 14, 2024This notice describes how medical information about you or your child may be used and disclosed and how you can get access to this information. Please review it carefully.
Our ResponsibilitiesARC LLC is committed to maintaining the privacy of your Protected Health Information (PHI). Under the Health Insurance Portability and Accountability Act (HIPAA), we are required to: • Maintain the privacy of PHI • Provide this Notice of our legal duties and privacy practices • Notify you if a breach of unsecured PHI occurs • Follow the terms of this Notice currently in effect
How We May Use and Disclose Your PHIWe may use or disclose your PHI without your written authorization for the following purposes:1. TreatmentWe may use and disclose PHI to provide, coordinate, or manage your care. For example, we may share information with your child’s physician or school personnel, as necessary.2. PaymentWe may use and disclose PHI to bill and collect payment for services provided. This includes sharing information with your health insurance company for authorization or reimbursement.3. Healthcare OperationsWe may use PHI for quality assurance, staff training, internal audits, and other administrative functions that support our ability to provide care.
Other Permitted or Required Uses and DisclosuresWe may also disclose your PHI in certain circumstances without your authorization, including: • When required by law • For public health activities • For health oversight (e.g., audits, inspections) • To avoid a serious threat to health or safety • For research (under strict oversight) • In response to a court order or legal proceeding • To law enforcement, if required
Uses and Disclosures Requiring Your Written AuthorizationAny other use or disclosure of your PHI not covered by this Notice will be made only with your written authorization. This includes: • Marketing purposes • Sale of your PHI • Most sharing of psychotherapy notesYou may revoke your authorization at any time in writing, except where we have already acted in reliance on it.
Your Rights Regarding Your PHIYou have the right to: • Access your PHIRequest to inspect or obtain a copy of your or your child’s PHI. • Request amendmentsAsk us to correct or amend your health information if you believe it is incorrect or incomplete. • Request restrictionsAsk us not to use or disclose certain information. We are not required to agree, but we will comply if feasible. • Request confidential communicationsAsk us to communicate with you in a specific way (e.g., at work, by mail). • Receive an accounting of disclosuresRequest a list of certain disclosures of your PHI made in the past six years. • Receive a paper copy of this NoticeEven if you have received it electronically, you may request a paper copy.
ComplaintsIf you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS).We will not retaliate against you for filing a complaint.To file a complaint with ARC LLC:Phone: 605-773-5990Email: DHSInfor@state.sd.usAddress: South Dakota Department of Human Services (DHS)3800 E. Hwy 34 – Hillsview Plazac/o 500 East Capitol AvenuePierre, SD 57501
Changes to This Notice:We reserve the right to change this Notice at any time. Any changes will apply to PHI we already have, as well as new information. Updated Notices will be posted on our website and available in our office.
Contact UsIf you have any questions about this Notice or your rights, please contact:Privacy Officer – ARC LLCEmail: arc.abatherapy@gmail.comPhone: 605-607-6557
Our ResponsibilitiesARC LLC is committed to maintaining the privacy of your Protected Health Information (PHI). Under the Health Insurance Portability and Accountability Act (HIPAA), we are required to: • Maintain the privacy of PHI • Provide this Notice of our legal duties and privacy practices • Notify you if a breach of unsecured PHI occurs • Follow the terms of this Notice currently in effect
How We May Use and Disclose Your PHIWe may use or disclose your PHI without your written authorization for the following purposes:1. TreatmentWe may use and disclose PHI to provide, coordinate, or manage your care. For example, we may share information with your child’s physician or school personnel, as necessary.2. PaymentWe may use and disclose PHI to bill and collect payment for services provided. This includes sharing information with your health insurance company for authorization or reimbursement.3. Healthcare OperationsWe may use PHI for quality assurance, staff training, internal audits, and other administrative functions that support our ability to provide care.
Other Permitted or Required Uses and DisclosuresWe may also disclose your PHI in certain circumstances without your authorization, including: • When required by law • For public health activities • For health oversight (e.g., audits, inspections) • To avoid a serious threat to health or safety • For research (under strict oversight) • In response to a court order or legal proceeding • To law enforcement, if required
Uses and Disclosures Requiring Your Written AuthorizationAny other use or disclosure of your PHI not covered by this Notice will be made only with your written authorization. This includes: • Marketing purposes • Sale of your PHI • Most sharing of psychotherapy notesYou may revoke your authorization at any time in writing, except where we have already acted in reliance on it.
Your Rights Regarding Your PHIYou have the right to: • Access your PHIRequest to inspect or obtain a copy of your or your child’s PHI. • Request amendmentsAsk us to correct or amend your health information if you believe it is incorrect or incomplete. • Request restrictionsAsk us not to use or disclose certain information. We are not required to agree, but we will comply if feasible. • Request confidential communicationsAsk us to communicate with you in a specific way (e.g., at work, by mail). • Receive an accounting of disclosuresRequest a list of certain disclosures of your PHI made in the past six years. • Receive a paper copy of this NoticeEven if you have received it electronically, you may request a paper copy.
ComplaintsIf you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS).We will not retaliate against you for filing a complaint.To file a complaint with ARC LLC:Phone: 605-773-5990Email: DHSInfor@state.sd.usAddress: South Dakota Department of Human Services (DHS)3800 E. Hwy 34 – Hillsview Plazac/o 500 East Capitol AvenuePierre, SD 57501
Changes to This Notice:We reserve the right to change this Notice at any time. Any changes will apply to PHI we already have, as well as new information. Updated Notices will be posted on our website and available in our office.
Contact UsIf you have any questions about this Notice or your rights, please contact:Privacy Officer – ARC LLCEmail: arc.abatherapy@gmail.comPhone: 605-607-6557