HIPAA Policy

Dear Patient:

We would like to take this opportunity to welcome and thank you for choosing Cardinal Health Specialty Pharmacy as your pharmacy. Cardinal Health Specialty Pharmacy strives to provide close clinical monitoring of specialty biotech pharmaceuticals to patients challenged by chronic diseases. Our main concern at Cardinal Health Specialty Pharmacy is your well-being, quality of care and overall satisfaction. We hope that you will allow us to help you in any way that we can.

Cardinal Health Specialty Pharmacy is backed by a knowledgeable and caring staff that makes your care their top priority. Our Staff is available twenty-four hours a day; seven days a week to answer any immediate questions, concerns or any issues with your prescription you might have. By calling 1-888-662-6779 between the hours of 8:00 a.m. and 8:00 p.m, ET. you will be able to speak with your customer care advocate and/or pharmacist directly. After normal business hours your call will be transferred to an answering service which will then allow you to talk to the on-call pharmacist.

We are grateful that you have chosen Cardinal Health Specialty Pharmacy as your pharmacy. We welcome any ideas, comments or suggestions that will help us enhance the services we offer. Please visit us on the web for more information at http://www.chsprx.com.

Please find enclosed a copy of our Patient Rights and Responsibilities, a Notice of Privacy Practices and notices regarding Authorization and Insurance Responsibility. Please read the information, and sign the enclosed form to acknowledge your receipt of them. We have enclosed a postage paid envelope for your convenience.

Sincerely,
Cardinal Health Specialty Pharmacy
7172 Columbia Gateway Drive
Columbia MD. 21046
Phone: 1-888-662-6779
Fax: 1-877-800-4792
Hours of Operation: Monday – Friday: 8:00 am–8:00 pm, ET

YOUR RIGHTS AND RESPONSIBILITIES.

Cardinal Health Specialty Pharmacy has an obligation to protect your rights and inform you of your responsibilities. Your family or guardian may exercise these rights and responsibilities in the event that you are not competent or able to exercise them for yourself.

You have the right to:
  • Ethical Standards and Conduct–to have a relationship with our staff that is based on honesty and ethical standards of conduct. To have ethical issues addressed and inform you of any financial benefit we receive, and if you are referred to another organization, service, individual or other reciprocal relationship.
  • Respect – both the member and the caregiver have the right to courtesy, consideration and mutual respect and personal dignity and to have your cultural, psychosocial, spiritual and personal values, beliefs and preferences respected. You will not be discriminated against based on social status, political belief, sexual preference, race color, religion, national origin, age, sex or handicap. Our staff is prohibited from accepting gifts.
  • Have Your Communication Needs Met – to receive information in a timely manner that you can understand.
  • Lodge Complaints – to have you and your family’s complaints heard, reviewed and if possible resolved. You and your family and staff have the right to know about the results of such complaints. Our complaint resolution process regarding care, services or a lack of respect is explained in our problem solving procedure. A summary report of agency written complaints will be made available upon request.
  • No Reprisals – to voice grievances without the fear of coercion, discrimination or reprisal for doing so.
  • Choose Your Health Care Provider – and communicate with those providers.
  • Information About Your Care – to be informed about the care and services that is to be delivered, the purpose of the services, names and responsibilities of our staff members who are providing or supervising your care. You have the right to information about the planned services, expected and unexpected outcomes, potential risks or problems, and barriers to treatment.
  • To Be Notified Of Changes in Your Care – to be advised of any change in your plan of care or reduction in services before the change is made.
  • Plan Your Care - to actively participate in the planning of your care treatment and services. To participate in changing the plan whenever possible.
  • Have Your Family Involved in Decisions – as appropriate, concerning your care, treatment and services, when approved by you or your surrogate decision maker and as allowed by law.
  • Advance Notice of Termination of Service – to be given timely and advanced notice prior to discharge when appropriate.
  • Implementation of Advance Directives – you have the right to formulate advance directives. To have health care providers comply with your advance directives in accordance with state laws and receive care without conditions or discrimination based on the execution of advance directives. You will be informed if we cannot fully implement an advance directive based on conscience.
  • Accept or Refuse Care, Treatment and Services – to refuse or discontinue care, services, without fear of reprisal or discrimination. You may refuse part or all of your care and services to the extent permitted by law. However, should you refuse to comply with the plan of care and your refusal threatens to compromise our commitment to quality care, then we or your physician may be forced to discharge you from our services and refer you to another source of care.
  • Confidentiality – confidentiality of written, verbal or electronic information including your medical or financial circumstances. Please see our Notice of Privacy Practices for further information regarding how we protect the confidentiality of health and financial information about you.
  • Billing and Payment Information – before care is initiated we will advise you of our billing practices and we will advise you of any changes in payment, charges and any financial liability when they occur.
  • Have Access to Bills – to have an itemized bill when requested, for any charges that you receive.
  • Receive High Quality Care – by individuals who are properly trained and competent to perform their duties.
  • Pain Management – education about you or your care giver’s role in managing pain when appropriate.
  • Be Accepted For Services if We Can Provide the Care You Need – a qualified staff member will assess your needs. If you require services that we do not have the resources to provide, we will inform you and refer you to alternate sources.
You have the responsibility to:
  • Provide Complete and Accurate Information to Facilitate Care– to the best of your knowledge about your present complaints and medical condition, past illness, hospitalizations, pain, medications, allergies and other matters relating to your health.
  • Remain Under a Doctor’s Care – while receiving services from Cardinal Health Specialty Pharmacy.
  • Notify Us Of Changes In Your Condition – to notify us of perceived risks and or unexpected changes in your condition (e.g. hospitalization, changes in the plan of care, symptoms to be reported, pain, or change in physician).
  • Follow the Plan for Care – and instruction and accept responsibility for the outcomes if you do not follow the care, treatment or service plan.
  • Ask Questions – when you do not understand about your care, treatment and service or other instruction about what you are expected to do. If you have concerns about your care and cannot comply with the plan, please let us know.
  • Report Pain – discuss pain, pain relief options and concerns about pain management.
  • Notify Us of Insurance Changes – tell us if your insurance coverage changes.
  • Promptly Meet Your Financial Obligations – as agreed upon with the agency.
  • Inform Us of Any Change in Advance Directive Information – to inform us of the existence of and any changes made to advance directives.
  • Advise Us of Problems – tell us if there are any problems or dissatisfaction with the services provided.
  • Show Respect and Consideration – to agency and staff.
NOTICE OF PRIVACY PRACTICE

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.


At Cardinal Health Specialty Pharmacy, your privacy is a priority. The following is a summary of how we may use and disclose your protected health information (PHI) and your rights regarding the privacy of your PHI.

PHI is information about your past, present or future health care, or payment for that care that could be used to identify you. We are required by law to protect the privacy of your PHI and to provide you with this Notice. This Notice describes how we may use and disclose your PHI, including uses and disclosures that the law allows us to make without your written authorization, and we are obligated to comply with the terms of this Notice. We will not use or disclose your PHI without your written authorization, except as described or otherwise permitted by this Notice.

Our Uses and Disclosures of Your PHI:

The following categories describe different ways that we use and disclose your PHI. We have provided you with examples in certain categories; however, not every use or disclosure in a category will be listed.

  • Treatment – We may use and disclose your PHI to provide and coordinate your treatment, medications and other services that you receive. For example, we may contact you regarding your medications, refill reminders, expired prescriptions, the availability of alternative medications, other health-related product or service recommendations that may be of interest to you and benefit your health, product recalls or disease state management. We may disclose PHI, including prescription information, to other health care professionals so that all members of your health care team can be updated as needed to meet your needs.
  • Payment – We may use and disclose your PHI for various billing-related activities. For example, we may contact your insurance company, pharmacy benefit manager or other health care payor about payment for medications or services that require advance approval. We will bill you, your payor or other responsible person for your medications so that they can pay us.
  • Health Care Operations – We may use your PHI for certain operational, administrative, quality improvement and legal compliance activities. For example, we may use and disclose your PHI to train our staff and monitor their performance. We may use your PHI to inform you of health education programs and other opportunities such as health education benefits and services that may be of interest to you.

We may also disclose PHI to:

  • Business associates performing payment or health care operations activities on our behalf. If any PHI is disclosed to a business associate, they are obligated to protect the PHI in accordance with federal and state law.
  • Your legal representative, such as a parent or guardian of a minor or a person with a valid advance directive signed by the patient, as permitted by law. In addition, we may disclose your PHI to family, friends or other individuals involved in your care or payment for your care, but will only disclose the PHI related to the individual’s involvement.

There are other limited times when we are permitted or required to disclose PHI without your written authorization. These situations include:

  • To federal, state, or local authorities for public health activities, such as tracking diseases. This may include reporting adverse reactions to medications or other products to the U.S. Food and Drug Administration and disclosures necessary for recalls of products.
  • To protect victims of abuse or neglect.
  • For federal or state health oversight activities such as fraud investigations. These activities include audits, investigations, inspections, licensing, and for government monitoring of the health care system.
  • For judicial or administrative proceedings.
  • If required by law or for law enforcement.
  • To coroners, medical examiners and funeral directors.
  • To organ or tissue procurement organizations for organ and tissue donation and transplant.
  • To proper authorities to avert a serious threat to your health and safety or the health and safety of another person or the public.
  • For specialized government functions such as national security and intelligence.
  • To the extent necessary to comply with laws relating to workers compensation or similar programs if you are injured at work.
  • To a correctional institution or its agents if you are or become an inmate
  • If you are a member of the armed forces, we may release your PHI as required by military command authorities.
  • To federal officials for intelligence, counterintelligence and other national security activities authorized by law.
  • For research; however we will only do so if the research has been approved by an institutional review board or privacy board that has established protocols to protect the privacy of your PHI.

In other cases, we must ask for your written authorization before we use or disclose your PHI. These cases include:

  • Uses or disclosures of your psychotherapy notes (your mental health provider’s written notes).
  • Uses or disclosures for marketing purposes.
  • For any disclosure which is a sale of your PHI.

Other uses and disclosures not previously described in this notice may only be done with your signed authorization. You may revoke your authorization at any time by submitting a written request to the address below. Your revocation will not apply to information that was released prior to us receiving your written request for revocation.

You have the following rights with respect to your PHI:

  • Obtain a paper copy of the Notice upon request. You may request a copy of this Notice at any time. To obtain a paper copy of this Notice, please contact us through our website, in person or by mail addressed to our pharmacy location and directed to “Attention: HIPAA Privacy Official.”
  • Request a restriction on certain uses and disclosures of PHI. You have the right to request certain restrictions on our use or disclosure of your PHI. To request a restriction, please provide a written request in person or by mail addressed to the address at the end of this Notice. We are not required to agree to your request unless the disclosure is to a health plan for purposes of carrying out payment or health care operations and the information pertains solely to a health care item or service for which you have paid the Pharmacy out of pocket in full. If we agree to your request, we will comply with the restriction on a going forward basis.
  • Inspect and obtain a copy of PHI. You have the right to inspect or obtain a copy of PHI about you that is contained in one of our “designated record sets” for as long as we maintain the PHI in the designated record set. Our designated record sets include your customer contact information, records about drugs and services provided to you, and billing records. To inspect or copy records about you, please provide a written request in person or by mail addressed to the address at the end of this Notice. We may charge you a fee for the costs of copying, mailing and supplies that are necessary to fulfill your request. We may deny your request in certain circumstances. If you are denied access to your PHI, you may request that the denial be reviewed.
  • Request an amendment of PHI. If you feel that the PHI we maintain about you is incomplete or incorrect, you may request that we amend it. You may request an amendment for as long as we maintain the PHI in a designated record set. To request an amendment, you must send a written request in person or by mail addressed to our pharmacy location and directed to “Attention: HIPAA Privacy Official.” You must include a reason that supports your request for amendment. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision and we may provide a rebuttal to your statement.
  • Receive an accounting of disclosures of PHI. You have the right to receive an accounting of certain disclosures we have made of PHI about you for most purposes other than treatment, payment and health care operations. The right to receive an accounting is subject to certain exceptions, restrictions and limitations. To request an accounting, please submit a written request in person or by mail addressed to the address at the end of this Notice. Your request must specify the time period for which the accounting is requested, which may not be longer than six years. The first accounting you request within a twelve month period will be provided free of charge, but you may be charged for the cost of providing additional accountings. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time.
  • Request communications of PHI by alternative means or at alternative locations. You may request that we contact you concerning your PHI by alternative means and/or at alternative locations. For example, you may request that we contact you at a different residence. To make a request, please submit a written request in person or by mail addressed to the address at the end of this Notice. Your request must state how or where you would like to be contacted. We will accommodate all reasonable requests to receive communications by alternative means or at alternative locations.

We are required by law to maintain the privacy of your protected health information and we will notify you following a breach of unsecured protected health information.

If you have questions regarding this Notice, contact the Cardinal Health Specialty Pharmacy Privacy Officer. If you would like to exercise these rights or if you feel your privacy rights have been violated, contact us directly:

Cardinal Health Specialty Pharmacy
7172 Columbia Gateway Dr
Columbia, MD 21046
Attn: Privacy Officer
Telephone: 888-662-6779

All complaints will be investigated and we will not retaliate against you for filing a complaint. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services in Washington, D.C.

Cardinal Health Specialty Pharmacy reserves the right to change privacy practices and make the new practices effective for the information we maintain. Revised notices will be posted on our website and will be provided to you upon request.

This Notice is effective April 1, 2011
Reviewed: 3/10/2015