Billing Manual for Community Care Network Providers

• Workers compensation.• Inmates.• Disclosures of Information in which the member’s signature is required• The member’s Rights Regarding PHI:• To request restrictions on the uses and disclosures of their PHI.• The right to choose how Community Care will contact them.• The right to inspect and copy PHI.• The right to request an amendment of their PHI.• The right to an accounting of disclosure.• The right to obtain a copy of this notice.• Privacy Notice.• How the member receives a copy of changes made to the Privacy Notice.• How the member may file a complaint about our Privacy Practices.• How the member may have questions or concerns regarding privacy or theNotice of Privacy addressed.• The effective date for the Notice of Privacy.• Reporting inappropriate use of member information.• Non-Retaliation Policy.Community Care Provider Manual | 1-888-251-CCBH | © 2012 All Rights Reserved | Page 169