EIM Privacy Notice

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. (CFR164.520, 522, 524, 526, 528)

In compliance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996, EIM safeguards the protected health information of people who receive services coordinated by EIM.

Protected health information includes descriptive information that can be used to identify a person and that relates to the physical or mental health or condition, the health care provided to the person or payment for the health care. The protected health information includes information from the past, present, or future. The right to privacy continues after death.

You have the right to expect that only those individuals, organizations and/or agencies that have a need to know will be granted permission to use your protected health information, unless otherwise allowed by law or by your written authorization.

EIM maintains an electronic record for each consumer we serve. Included in each record is the information we receive from Goold Health Systems, who determines your eligibility for home care services and from the Office of Aging and Disability Services, who pays for some or all of your services. We in turn, share information about you, with them. We also share information about you with the companies and agencies that provide you with your home care services and with your doctor.

Information that may be shared includes your name, address, birth date, phone number, Social Security Number, MaineCare Number, Medicare Number, health insurance policies, and cost of services. It also may include your protected health information, such as your medical, mental health, and social health conditions.

PROTECTED HEALTH INFORMATION MANAGED BY EIM

EIM maintains an electronic record for each consumer we serve. Included in each record is the information we receive from Goold Health Systems, who determines your eligibility for home care services and from the Office of Aging and Disability Services who pays for some or all of your services. We in turn, share information about you, with them. We also share information about you with the companies and agencies that provide you with your home care services and with your doctor.

Information that may be shared includes your name, address, birth date, phone number, Social Security Number, MaineCare Number, Medicare Number, health insurance policies, and cost of services. It also may include your protected health information, such as your medical, mental health, and social health conditions.

YOUR PRIVACY RIGHTS

Although your health record belongs to EIM, the information contained in it belongs to you. You have a right to:

  • Ask for a list of occasions when your protected Health Information was shared outside of the routine conversations with people involved in your care.
  • Ask for a limit on how we use and disclose your protected health information, except for the information involved in managing and paying for your home care services. EIM is not legally required to agree with your request, but we will agree, when possible.
  • Ask that EIM communicates with you about your health in a way or at a location that will help you keep your information confidential such as at a different mailing address or calling you at a different phone number.
  • Receive a paper copy of this notice. You may also obtain a copy from EIM's website: www.eimsp.org
  • Receive a copy of changes in our privacy practices. EIM will send you an updated Privacy Notice within 15 days, in the event of a change.
  • File a complaint with EIM if you believe your Rights to Privacy have been violated, by contacting our Privacy Officer at:

EIM Privacy Officer; 8 Falcon Road; Lewiston, ME 04240

File a complaint with the Federal Department of Health and Human Services if you believe your Rights to Privacy have been violated by contacting:

Secretary of Health and Human Services
200 Independence Avenue SW
Washington, DC 20201
Telephone 1-877-696-6775

EIM Responsibilities

EIM is required by law to:

  • Maintain the privacy of your protected health information.
  • Give you this notice of our legal responsibilities to protect your health information.
  • Follow the terms of this notice.
  • Not use or share any health information about you without your written permission, except for the purposes of managing and paying for your home care services and when required by law. If you cannot give your permission due to an emergency, EIM may release the information if we believe it is in your best interest. We must notify you as soon as possible after releasing the information.
  • EIM may share some or all of your information with agencies or companies while arranging and managing your home care services. To protect your information, EIM requires other agencies or companies to safeguard your information in accordance with the law.

DIFFERENT WAYS EIM USES AND SHARES YOUR PROTECTED HEALTH INFORMATION

For Payment

EIM may use and share information about you so that it can pay for your home care services. For example, when you receive a home care service, your home care provider bills EIM who in turn sends a bill for payment to the Maine Bureau of Medical Services or the Office of Adults & Disability Services for payment. The claim includes information that identifies you, as well as your diagnoses and treatments.

For Home Care Services and Medical Treatment

EIM may use and share information about you so we can provide you with necessary medical treatment and home care services. This may include talking with your doctor, your home care agency, the hospital, and others who participate in your care.

For Grievance and Appeals Resolution

ElM may use your health information to resolve any grievances or appeals initiated by you or your legal representative.

For Health Care Operations

EIM may use your health information for quality improvement activities, risk management activities, staff training, auditing, and strategic planning.