HIPAA Notice of Privacy Practices

Purpose of This Notice

This Notice describes how medical and personal information about you may be used and disclosed, and how you can access that information.
Please review it carefully.

Dream Believe Inspire Home Care LLC (“Dream Believe Inspire Home Care,” “we,” “our,” or “us”) is committed to protecting your privacy and complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all applicable Indiana privacy laws.

We are required by law to:

• Maintain the privacy of your protected health information (PHI);
• Provide you this Notice of our legal duties and privacy practices; and
• Notify you of any breach that may compromise your PHI.

1. What Is Protected Health Information (PHI)?

Protected Health Information (PHI) means any information, oral or written, that can identify you and relates to your:

• Past, present, or future physical or mental health or condition;
• The provision of healthcare or home care services to you; or
• Payment for healthcare services.

This includes your name, address, date of birth, phone number, care plan details, Medicaid/insurance identifiers, and other service-related records.

2. How We May Use and Disclose Your PHI

We are allowed by law to use or share your PHI for the following purposes without additional written authorization:

a. For Treatment

We may share information with caregivers, nurses, case managers, or other health professionals involved in your care to coordinate services such as attendant care, homemaker assistance, or structured family caregiving.

b. For Payment

We may use and disclose PHI to obtain payment for services from Medicaid, Managed Care Entities (e.g., Anthem, UHC, Humana), or other payers.
This includes verifying eligibility, billing, collections, and payment processing.

c. For Healthcare Operations

We may use PHI for business functions such as scheduling, quality improvement, staff training, audits, or licensing reviews.

d. As Required by Law

We may disclose PHI when required by federal, state, or local law (e.g., public health reporting, abuse or neglect reporting, or government program audits).

e. For Your Care Coordination

We may contact you regarding appointment reminders, service updates, or home visits.

f. To Business Associates

Certain services (billing, IT, or record storage) may be provided by outside vendors known as Business Associates.
We require them by written contract to safeguard your PHI according to HIPAA.

3. Other Uses and Disclosures Requiring Authorization

We will obtain your written authorization before using or disclosing your PHI for:

• Marketing or fundraising purposes;
• Sale of your information;
• Any release not described in this Notice.

You may revoke your authorization in writing at any time, except to the extent we have already acted on it.