About Alliance Heath Inc.
Alliance provides intense behavioral interventions to children with Autism Spectrum Disorders (Autism, PDD, & Aspergers) as well as children who have been diagnosed with a serious emotional disturbance. The staff at AHI are trained specifically in techniques designed to address the needs of children with ASD. Alliance strives to provide Behavioral Health Rehabilitaion Services (BHRS) to our clients with staff that are trained in all the current interventions/techniques (play therapy, sensory diets, social skills training, DTI, etc…) that are available while staying true to the principals of Applied Behavioral Analysis (ABA). The goal of BHRS is based on the CASSP principals of building on the child’s strengths, while addressing the child’s areas of need. The team also attempts to generalize and maintain these skills. Alliance has several psychologists available who have extensive experience in the autism field and are available to provide services in the home and at our two offices located in Turtle Creek and Green Tree. They also consult with the staff at Alliance on a regular basis. Our BSC’s and MT’s have master’s degrees in a variety of fields (special education, social work, art therapy, counseling, applied developmental psychology, etc...) as well as certificates in ABA from approved institutions and board certified behavioral analysist.
Our two directors take a very hands on and personal approach to overseeing your child’s care and meet regularly with all staff to ensure quality of care is achieved.
Susan Stewart-Bayne, MA, LBS- Co-Director, BSC/MT
Melissa Rayman-Keilbach, MEd, LBS- Co-Director, BSC/MT
About Alliance Health, Inc. Adult Waiver Program
Alliance Health's Adult Waiver Program offers therapuetic support to adult's 21 and over. Services include a Functional Behavior Assessment (FBA), Behavior Specialist Service (BSS), Community Inclusion Specialist (CIS), and Family/ Individual Counseling. Our employee's are trained in all the current techniques of Applied Behavior Analysis under the supervision of ABA Certified Supervisors.Services are available in Allegheny, Fayette, Westmoreland, Washinton and Greene Counties.
Sara Revitsky, MA, LBS- Clinical Director, BSS
Melissa Rayman-Keilbach, MEd, LBS- Clinical Director, BSS
Your Information.
Your Rights.
Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we've shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Include you in a hospital directory
- Provide mental health care
- Market our services and sell your information
- Raise funds
We may use your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Work with a medical examiner or funeral director
- Address workers' compensation, law enforcement, and other governement requests
- Respond to lawsuits and legal actions
When it comes to your health information, you have certain rights.
Get an electric or paper copy or your medical record
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
- We will provide a copy of a summary of your health information, usually within 30 days of you request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
- You can ask us to correct health information about you that you this is incorrect or incomplete. Ask us how to do this.
- We may say "no" to your request, but we'll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- We will say "yes" to all resonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.
- If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say "yes" unless a law requires us to share that information.
Get a list of those with whom we've shared information
- You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
- We will include all the disclosures except for those about treatment, payment, and health care operation, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
- You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
- If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your rights by contacting us using the information on this website.
- You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington D.C. 20201, Calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what we share.
In these cases, you have both the right and coice to tell us to:
- Share information with your family, close friends, or others involved in our care
- Share information in a disater relief situation
- Include your information in a hospital directory
In these cases we never share your information unless you give us written permission:
- Marketing purposes
- Sale of you information
- Most sharing of psychotherapy notes
In the case of fundraising:
- We may contact you for fundraising efforts, but you can tell us not contact you again.
How do we typically use or share your health information?
Treat you
- We can use your health information and share it with other professionals who are treating you.
Example: A Doctor treating you for an injury asks another doctor about your overal health condition.
Run our organization
- We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Bill for your services
- We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
How Else can we use or share your health information?
We are allowed or required to share your information in other ways- usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html .Help with public health and safety issues
- We can share health information about you for certain situations such as:
- Preventing Disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone's health or safety
Do research
- We can use or share your information for health research.
Comply with the law
- We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complaying with federal privacy law.
Respond to organ and tissue donation requests
- We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
- We can share health information with a cornoner, medical examiner, or funeral director when an individual dies.
Address workers' compensation, law enforcement, and other government requests
- We can use or share health information about you:
- For workers' compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
- We can share health information about you in response to a court or administrative order, or in response to a subpoena.
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your at any time. Let us know in writing if you change your mind.
Please Note:
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
This Notice of Privacy Practices applies only to Alliance Health, Inc.- Allegheny County.
Inquires about this policy can also be made to the Co-Directors (Susan Stewart-Bayne and Melissa Rayman-Keilbach) at 412-823-5293 or via email - ahw@ahwraparound.com
Effective Date: 10/01/2013
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