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WEBSITE PRIVACY

DC Chartered Health Plan, Inc. Website is intended solely for the purpose of providing useful information to its members, providers, and other interested parties. DC Chartered Health Plan, Inc. does not collect any information from those who visit our website.

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NOTICE OF PRIVACY PRACTICES

How DC Chartered Health Plan, Inc. adheres to the Health Insurance Portability and Accountability Act (HIPAA) privacy regulations?

The Notice of Privacy Practices helps you understand how DC Chartered Health Plan, Inc. use and disclose . your personal health information and how you can get access to your health information.

Why are you giving this notice to me?

Chartered Health Plan knows that information about you and your health is personal, and we are required by the federal Health Insurance Portability and Accessibility Act (HIPAA) tell you what our responsibilities are and what rights you have under the law.

What is DC Chartered Health Plan required to do under HIPAA?

DC Chartered Health Plan is required by HIPAA to:

  • Make sure that your protected health information is kept private;
  • Give you this notice to tell you about our legal duties and privacy practices with respect to your PHI; and
  • Follow the terms of this notice.

What is Protected Health Information (PHI)?

Protected Health information (PHI) is defined as:

  • Information that identifies you or can be used to identify you.
  • Information that either comes from you or has been created or received by a health care provider, a health plan, your employer, or a healthcare clearinghouse.
  • Information that has to do with your physical and/or mental health or condition, providing health care to you, or paying for providing health care to you.
In this notice, “protected health information” will be written as PHI.

How can you use or share my PHI?

There are laws that allow or require us to use or disclose your PHI for many reasons. This Notice tells you how we may use and disclose your PHI. While not every use or disclosure is listed, the ways we may use or share your PHI falls within one of the descriptions below.

  • For Treatment. We may use and share your PHI for treatment. For example, we may use or share your PHI to enroll you in a disease management program, or to share it with your case manager.
  • For Payment to Caregivers. We may use and share your PHI in order to pay for health care you receive. For example, a bill that we may receive from your doctor may have information on it that identifies you, the nature of your illness, the treatment or tests given to you and the supplies that might have been used.
  • For Health Care Operations. We may use and share your PHI to run our business. For example, we may use your PHI to review and improve the quality of health care services you receive.
  • For another covered entity’s needs. We may share your PHI with another covered entity, such as a doctor or health plan, for their treatment or payment use. For example, we may share your PHI with a health plan to help them pay for your care. We may also share your PHI with them so that they can do certain business tasks if you have or have had a relationship with them.
  • To remind you of appointments and health-related benefits or services. We may use your PHI to send you appointment reminders. We may use PHI to tell you about other health care treatment, services, or benefits.

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NCQA ACCREDITATION

2009 NCQA HEDIS Compliance Audit Seal

2009 NCQA HEDIS Compliance Audit Seal

NCQA Accreditation

The National Committee for Quality Assurance has awarded Chartered an accreditation status of Commendable for service and clinical quality that meet NCQA's rigorous requirements for consumer protection and quality improvement. According to Margaret E. O’Kane, President, NCQA, "Achieving an accreditation status of Commendable from NCQA is a sign that a health plan is serious about quality. It is awarded to plans whose service and clinical quality meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement."