Notice of Privacy Practices

Your Data. Your Privacy. Our Duty.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Introduction

This Notice is provided by B Above Services, LLC, doing business as B Above Autism Services (“B Above,” “we,” or “our”), on behalf of its employees and clinicians. We are required by law to maintain the privacy of your protected health information (“PHI”), to give you this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect. PHI is information that identifies you and relates to your past, present, or future physical or mental health, the health care you receive, or payment for that care.

Because most of the people we serve are children, “you” and “your” in this Notice also mean the parent, legal guardian, or other personal representative who makes health care decisions for the patient.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your health record

• You can ask to see or get an electronic or paper copy of your health record and other health information we have about you. You may also ask us to send a copy to another person you identify.
• We will provide a copy or a summary, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your health record

• You can ask us to correct health information about you that you think is incorrect or incomplete.
• We may say “no” to your request, but we will tell you why in writing within 60 days.

Request confidential communications

• You can ask us to contact you in a specific way (for example, by cell phone or email) or to send mail to a different address.
• We will say “yes” to all reasonable 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, and we may say “no” if it would affect your care.
• If you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer for payment or our operations. We will say “yes” unless a law requires us to share it.

Get a list of those with whom we have shared information

• You can ask for a list (accounting) of the times we have shared your health information for six years before the date you ask, who we shared it with, and why.
• We will include all disclosures except those for treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one list a year for free, but may charge a reasonable, cost-based fee for another list within 12 months.

Get a copy of this Notice

• You can ask for a paper copy of this Notice at any time, even if you agreed to receive it electronically. We will provide it 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.

Be notified of a breach

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

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 at the end of this Notice.
• 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/hipaa/filing-a-complaint/index.html.
• We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care.
• Share information in a disaster relief situation.

If you are not able to tell us your preference, for example in an emergency, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes.
• Sale of your information.
• Most sharing of psychotherapy notes.

In the case of fundraising:

• We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information?

• Treat you and coordinate your care. We can use your health information and share it with other professionals who are treating you. Example: Your BCBA shares progress information with your pediatrician.
• Run our organization. We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We review session data to monitor the quality of services and train staff.
• 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/hipaa/for-individuals/index.html.

• Help with public health and safety issues, such as preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, and preventing or reducing a serious threat to anyone’s health or safety. B Above staff are mandated reporters.
• Do research. We can use or share your information for health research when the law allows. B Above does not currently conduct research and would ask for your permission when required.
• Comply with the law, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.
• Respond to organ and tissue donation requests, and work with a medical examiner or funeral director when an individual dies.
• Address workers’ compensation, law enforcement, and other government requests, including workers’ compensation claims, law enforcement purposes, health oversight agencies for activities authorized by law, and 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.

Calling, Texting, and Emailing

We may contact you about your care using the phone numbers and email addresses you provide, including by automated or prerecorded calls, text messages, or email. Our messages may include appointment reminders, scheduling updates, billing, treatment information, and notices about our services. Because texts and emails may not be encrypted, there is a risk that someone else could read them, so we limit the PHI they contain. You may opt out of these messages at any time by telling us, and we will honor your request.

Information with Additional Protection

• State law. Some health information, such as mental health records, HIV/AIDS information, and genetic testing results, has additional protection under state law. Where federal and state privacy laws differ, we follow the law that gives you greater protection or greater access to your information. When required, we will get your written permission before sharing this information.
• Substance use disorder records. If we receive records from a substance use disorder treatment program that are protected by federal law (42 CFR Part 2), we will not use or share those records, or testimony about their content, in any civil, criminal, administrative, or legislative proceeding against you unless you give written consent or a court issues an order and a subpoena as the law requires. If we use these records for fundraising, you may opt out.

Our Responsibilities

• 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 mind at any time by letting us know in writing.

For more information, see www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html.

Changes to the Terms of This Notice

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 at www.baboveservices.org.

Nondiscrimination and Language Assistance

B Above complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including sexual orientation and gender identity), or on any other basis prohibited by law. Free language assistance services and auxiliary aids, such as interpreters and information in other formats, are available. Call 317.773.0500.

Contact Information

If you have questions, want to exercise any of your rights, or want to file a complaint, contact our Privacy Official:

Privacy Official

Chief Clinical Officer, B Above Autism Services

201 N. Illinois St., Suite 16, South Tower, Indianapolis, IN 46204

Phone: 317.773.0500 · Email: grievance@baboveservices.org

Effective Date of this Notice: October 16, 2026

This Notice replaces the B Above Notice of HIPAA Privacy Policy dated December 1, 2023.