Health Insurance Portability and Accountability Act (HIPAA) Privacy
The United States Department of Health and Human Services established the HIPAA Privacy Regulation in December 2000, which then became effective on April 14, 2003. The Privacy Rule provides for the protection and privacy of individually identifiable health information and guards against misuse of such information.
The Department of Economic Security has determined that the Division of Developmental Disabilities and the Refugee Medical Assistance Program within the Division of Aging and Community Services, are covered by the HIPAA Privacy Rules. If you (or your child) are receiving services through one of these programs, please continue.
Notice of Privacy Practices
Name | English Doc | Spanish Doc |
DES Notice of Privacy Practices | DES-1077A.pdf | DES-1077AS.pdf |
(Summaries in Farsi, Arabic, Somalian, Russian, Vietnamese, Serbo-Croatian and Spanish are available by contacting the Privacy Officer at the Refugee Medical Assistance Program - see contact information below)
HIPAA-Compliant Authorization
In order to obtain protected health information from a DES covered entity, you will need to use a HIPAA-compliant authorization. Such an authorization is available by clicking below.
Authorization
Name | English Doc | Spanish Doc |
HIPAA-Compliant Authorization | PPP-1127A.doc | PPP-1127AS.doc |
How to File a HIPAA Privacy Complaint
You may file a complaint if you believe any of the following has occurred:
To obtain a copy of the complaint form please click below or visit our Forms Library and view the Privacy Category.
Name | English Doc | Spanish Doc |
HIPAA Privacy Complaint Form | PPP-1063A.doc | PPP-1063AS.doc |
Although, DES would like an opportunity to work with you to resolve any concerns or complaints you may have regarding your rights under the Privacy Rules, you may choose to file a complaint with the Office for Civil Rights. The Office for Civil Rights can be contacted at U.S. Department of Health and Human Services, 50 United Nations Plaza, Room 322, San Francisco, CA 94102.
Contact Information
If you have a question, concern, or complaint related to HIPAA Privacy at DES, please contact us.