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.

Client Bill of Rights

When it comes to your health information, you have certain rights.
This section explains your rights and some of our responsibilities to help you. Click the sections below to learn more.

Client Responsibilities

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

• Join In: Go to your appointments and work on your treatment plan.
• Be Honest: Tell the truth about how you feel and what’s going on so your care team can help you.
• Follow Rules: Stick to the provider’s rules,
like how to act and stay safe.
• Be Kind: Treat staff and other people getting
help with respect.
• Show Up: Be on time for appointments or
let your provider know if you can’t make it.
• Own Your Choices: Understand that if you
don’t follow your treatment plan, it might
affect how things turn out.

Confidentiality

Your treatment information is private and protected by state and federal laws. It will only be shared if:

• There's a report of violence, threats, or
suspected abuse/neglect.
• You or your guardian sign a form allowing
another agency to see it.
• A judge orders it to be shared with the court.

In accordance with Federal Law, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age or disability. Funded in part or in whole through Federal, CHFS and/or State funds.

Steps to Filing a Grievance:

• Write your complaint and send it to the Program Director and Compliance Officer. They’ll review it and reply in writing within 7 workdays, or longer if there’s a special reason.
• If you don’t like the reply, you can ask the Compliance Officer to review it within 5
workdays. They’ll form a group within 10 workdays to look at the issue and give advice
within 5 workdays after the meeting.
• If you’re still unhappy, you can ask for an outside group to review it. KRCC’s Board of Directors will decide if this can happen based on your complaint.
• If you’re not satisfied with KRCC’s final decision, you can file a complaint with the state. Call the Ombudsman at 866-596-6283 or 800-627-4702 (TTY), or write to 209 St. Clair Street, Frankfort, KY 40601. Use the Ombudsman only if other steps don’t work.

If you get benefits or services from KRCC and feel treated unfairly because of your race, sex, disability, religion, age, sexual orientation, ability to pay, or national origin, you can file a complaint. When you apply, you’ll get info about your rights and how to handle any complaints about the services.

Privacy Officer Contact:

Compliance Officer
Kentucky River Community Care
Mike Kadish

115 Rockwood Lane
Hazard, KY 41701

(606) 436-5761, ext. 4655
1-800-575-7223, ext. 4655
mike.kadish@krccnet.com

Kentucky Cabinet for Human Resources
Ombudsman
209 St. Clair Street,
Frankfort, KY 40601

1(866)596-6283
kyombud@ky.gov

Your Voice Matters

We want to hear any and all comments about our services, staff and facilitates. If you have any comments, or feel your rights have been, or are bring denied, please speak with the supervisor on-site, or you may write, email, or call:

Providing Trauma Informed Care for Breathitt, Knott, Lee, Leslie, Letcher, Owsley, Perry, and Wolfe Counties

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