Effective Date: 06/13/2025
Lifetime Redesign, OT PLLC d/b/a Eli Health (“Eli Health,” “we,” “our,” or “us”) provides health care services, including care coordination and support services under the CMS GUIDE (Guiding an Improved Dementia Experience) Model.
We are required by law to maintain the privacy of your Protected Health Information (“PHI”) and to provide you with this Notice of our legal duties and privacy practices.
We are required by law to:
We may use and disclose your PHI without your written authorization for the following purposes:
We may use and share your PHI to provide, coordinate, or manage your health care and related services.
Example: Sharing information with physicians, care navigators, specialists, and other members of your care team involved in your care coordination and dementia care management services.
We may use and disclose your PHI to bill and receive payment for services we provide.
Example: Submitting information to Medicare or other payers.
We may use and disclose your PHI for business operations necessary to run our organization and improve the quality of care we provide.
These activities may include:
We may also use and disclose your PHI as required to participate in federal and state health care programs, including programs administered by the Centers for Medicare & Medicaid Services (CMS), such as the GUIDE Model. This may include sharing information for patient eligibility determination, care coordination, quality reporting, payment, and program evaluation activities.
We may also use or disclose your PHI:
Unless you object, we may share PHI with a family member, friend, or other person you identify as being involved in your care or in payment for your care. We will share only the information directly relevant to that person’s involvement.
If you are unable to agree or object due to incapacity, emergency, or similar circumstances, we may use professional judgment to determine whether sharing PHI with a family member, friend, or caregiver is in your best interest, and we may share only the information directly relevant to their involvement in your care.
If you have a personal representative authorized under applicable law — such as a legal guardian, health care power of attorney, or other representative recognized by law — we will generally treat that person as you for purposes of this Notice, except in limited circumstances where law permits or requires otherwise.
We will not use or disclose your PHI for the following purposes without your written authorization:
You may revoke your authorization at any time in writing.
Participation in certain care programs, including care coordination or dementia care management services, may require your consent or voluntary agreement.
These programs may involve confirming your eligibility and sharing your information with program administrators, including CMS, for purposes such as care coordination, payment, and program evaluation.
You have the following rights regarding your PHI:
You have the right to inspect and obtain a copy of the PHI we maintain about you. If we maintain your PHI electronically, you have the right to obtain an electronic copy.
You may request corrections to your PHI if you believe it is incorrect or incomplete.
You may request limits on how we use or disclose your PHI for treatment, payment, or health care operations, and on disclosures to family members or others involved in your care. We are not required to agree to every request. However, if you pay for a service or item out of pocket in full, you may request that we not disclose PHI about that service or item to your health plan, and we will agree to that request unless the disclosure is required by law.
You may request that we contact you in a specific way (for example, only by phone or email).
You may request a list of certain disclosures we have made of your PHI.
You may request a paper copy of this Notice at any time.
You may request information about your participation in care programs and may choose to discontinue participation in certain services, subject to applicable program requirements.
To exercise any of the rights described above, please submit a written request to our Privacy Officer using the contact information below. We may require you to use a specific form, which we will provide on request.
We will:
If you believe your privacy rights have been violated, you may file a complaint with us by sending a written complaint to our Privacy Officer at the contact information below. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
We will not retaliate against you for filing a complaint.
Privacy Officer
Joe Malnar, Director of Operations
Lifetime Redesign, OT PLLC d/b/a Eli Health
12395 Olive Blvd, Ste 200
Creve Coeur, MO 63141
Phone: 636-233-7249
Email: info@elihealth.com
U.S. Department of Health and Human Services
Office for Civil Rights
https://www.hhs.gov/hipaa/filing-a-complaint/index.html
Some state laws provide greater privacy protections than HIPAA. Where applicable state law provides more protection for your PHI than this Notice describes, we will follow the more protective state law.
We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain, including PHI created or received before the change. We will post the current Notice on our website and update the effective date. Upon request, we will provide you with a copy of the most current Notice.