Waco Independent School District
HIPAA NOTICE OF PRIVACY PRACTICES
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) imposes
numerous requirements on employer health plans concerning the use and disclosure
of individual health information. This information, known as protected health
information, includes virtually all individually identifiable health information
held by the Plan — whether received in writing, in an electronic medium,
or as an oral communication. This notice describes the privacy practices of
the Health Care Spending Accounts. The plan(s) covered by this notice may share
health information with each other to carry out Treatment, Payment, or Health
Care Operations. These plans are collectively referred to as the Plan in this
notice, unless specified otherwise.
The Plan's duties with respect to health information about you.
The Plan is required by law to maintain the privacy of your health information
and to provide you with this notice of the Plan's legal duties and privacy
practices with respect to your health information. If you participate in an
insured plan option, you will receive a notice directly from the Insurer. It's
important to note that these rules apply to the Plan, not Waco Independent School
District ('WISD') as an employer — that's the way the
HIPAA rules work. Different policies may apply to other WISD programs or to
data unrelated to the health plan.
The privacy rules generally allow the use and disclosure of your health information
without your permission (known as an authorization) for purposes of health care
Treatment, Payment activities, and Health Care Operations. Here are some examples
of what that might entail:
- Treatment includes providing, coordinating,
or managing health care by one (1) or more health care providers or doctors.
Treatment can also include coordination or management of care between a provider
and a third party, and consultation and referrals between providers.
- Payment includes activities by this Plan, other
plans, or providers to obtain premiums, make coverage determinations and provide
reimbursement for health care expenses. This can include eligibility determinations,
reviewing services for medical necessity or appropriateness, utilization management
activities, claims management, and billing; as well as “behind the scenes”
plan functions such as risk adjustment, collection, or reinsurance.
- Health Care Operations include activities by
this Plan (and in limited circumstances other plans or providers) such as
quality assessment and improvement activities, customer service, and internal
grievance resolution. Health care operations also include vendor evaluations,
credentialing, training, accreditation activities, underwriting, premium rating,
arranging for medical review and audit activities, and business planning and