WHO IS
ELIGIBLE FOR LCBDD SERVICES?
A child younger than three years of age
must present at least one developmental delay or
established risk to be eligible for agency service.
At-risk children include those who were born premature,
those affected by drug exposure, or others who have
diagnosed physical or mental conditions that may cause
delays. A delay is when a child does not reach his or
her developmental milestones at the expected times.
Developmental delays can occur in one or many areas such
as motor, language, social or thinking skills.
Children age three to six years must
present at least two developmental delays or an
established risk to be eligible.
Children ages 6 to 15 must exhibit a
substantial functional limitation in at least three of
the following areas of major life activity as
appropriate for their age: self care; receptive and
expressive language; learning; mobility; self direction;
and capacity for independent living.
Individuals age 16 and older also must
exhibit substantial functional limitations in at least
three of the following areas of major life activity: the
capacity for economic self-sufficiency; self care;
receptive and expressive language; learning; mobility;
self direction and capacity for independent living.
An individual must experience
developmental disabilities or delays before age 22 to
qualify for services.
Developmental disabilities must be
assessed by a licensed psychologist and/or physician.
Functional limitations are evaluated
through completion of the Ohio Eligibility Determination
Instrument (OEDI, for those age 16 and older), and the
Children's Eligibility Determination Instrument (COEDI,
for those age 6 to 15).
Please direct eligibility questions
to Intake Coordinator Lorrie Miller, (740) 349-1420, or
(800) 722-6096. She also may be reached by sending a
message to
Lorrie.Miller@LCountyDD.org.
PRIVACY
PRACTICES
Protecting your personal information is
important to the Licking County Board of Developmental Disabilities
(LCBDD). We
follow strict state and federal laws that require us to
keep your personal information confidential.
How the LCBDD uses your personal information
If you receive LCBDD services, we may use your
personal information for activities such as providing
you with services, billing for services and conducting
normal business, including health care operations. If
you have a legal guardian, we will provide information
to your guardian. If you are an adult who has chosen a
personal representative and have agreed to let that
person obtain your personal information, we will provide
the information to him or her.
Click
here for the LCBDD
Privacy Practices Brochure
SERVICES AND TREATMENT
The LCBDD keeps records of the care and services
we provide to you. Your service coordinator keeps notes
on all contacts made in arranging services. If you see
an LCBDD nurse or therapist, staff will keep records
of care or services you receive. LCBDD staff may also
share your personal information with other staff members
when developing or updating your service plan (ISP or
IFSP). If LCBDD staff members wish to share your
personal information with anyone who is not employed by
the agency, you must first give them written permission,
called a "release of information." Some
personal records, including confidential communications
with mental health professionals and substance abuse
records, may have additional restrictions for use and
disclosure under state and federal laws.
PAYMENT
The LCBDD keep records of payment information for the
services provided to you. Your personal information may
be used to obtain payment for your services from
Medicaid, insurance or other sources. We also may
disclose personal information about the services
provided to you to confirm your eligibility for
Medicaid, as well as determine the amount and type of
Medicaid services you require.
HEALTH CARE
OPERATIONS
The LCBDD uses personal information to make plans to
better serve you and other enrolled individuals, improve
its overall quality of care, train staff, manage costs
and conduct required business duties. We may use your
personal information, for example, to evaluate the
quality of treatment and services provided by agency
staff.
OTHER SERVICES
The LCBDD also may use your personal information to:
-
Determine
whether or not you are eligible for LCBDD
services.
-
Recommend
service alternatives and other possible benefits to
you.
-
Tell
you about other service providers that may be able
to help you.
-
Allow
it to review direct service contracts.
-
Allow
local, state and federal agencies to monitor your
services.
-
Investigate
incidents affecting health and safety, report these
incidents and take steps to protect your health and
safety in the future.
-
Prepare
reports required by the Ohio Department of Developmental Disabilities and the
Ohio Department of Job and Family Services (the
state Medicaid agency).
-
Contact
you for assistance in passing levies, unless you
notify the agency that you do not wish to be
contacted for this purpose.
DISCLOSING YOUR PERSONAL
INFORMATION
There are limited circumstances when LCBDD is
permitted or required by law to disclose personal
information without your signed "release of
information." These situations are:
-
To
protect victims of abuse, neglect or domestic
violence;
-
To
prevent serious threats to public health and safety;
-
For
health oversight activities such as investigations audits and inspections;
-
For
lawsuits and similar proceedings;
-
For
public health purposes, such as reports of
communicable diseases, work-related illnesses or
other diseases and injuries permitted by law,
reports of births and deaths and reports of
reactions to drugs and problems with medical
devices;
-
For
requests by law enforcement required by law or court
order;
-
To
coroners, medical examiners and funeral directors;
-
For
organ and tissue donation;
-
For
workers compensation if you are injured at work and
are covered by workers compensation or a similar
program;
-
And
for specialized government functions such as
intelligence and national security.
All other uses and disclosures not
previously described require a signed "release of
information" form. You may revoke your
authorization at any time with a written statement.
YOUR INDIVIDUAL RIGHTS
You have the right to:
-
Request
restrictions on how LCBDD uses and shares your
personal information. We will consider all requests
for restrictions carefully but is not required to
agree to any restriction.
-
Inspect
and copy your personal information, including
service, medical and billing records. Fees may
apply.
-
Request
corrections or additions to your personal
information. You must provide a reason for
requesting the change.
-
Request
an accounting of certain disclosures of your
personal information made by LCBDD. Your request
must state the period of time desired for the
accounting, which must be within six years preceding
your request. The first accounting is free but a fee
may apply if more than one request is made in a
12-month period.
-
Request
that LCBDD use a specific telephone number or
address to communicate with you.
-
Request
a paper copy of this notice even if you agree to
receive it electronically.
-
Request
must be made in writing. If you need assistance
making a request, please contact your service
coordinator.
LCBDD
PRIVACY RESPONSIBILITIES
This describes the privacy practices of the LCBDD.
We are required by law to maintain the privacy of your
personal information, provide this notice that addresses
the ways we may use and share that information and
follow the terms of the notice currently in effect.
Current notices are posted in each LCBDD building. You
also may request a copy of this notice by calling LCBDD Administration, (740) 349-6588. The
LCBDD
reserves the right to make changes to this notice at any
time and make the new privacy practices effective for
all information it maintains. This brochure also
describes the privacy practices of persons or entities
that have signed a contract with the LCBDD, are acting
as business associates and have promised to follow the
same rules of confidentiality. If you are interested in
the privacy practices of service providers not employed
by the LCBDD and who are not business associates,
please contact those providers directly.
If you would like additional information about your
privacy rights, are concerned that your privacy rights
have been violated, or if you disagree with a decision
that the LCBDD has made about access to your personal
information, please contact Lorrie Miller, Intake
Coordinator, at (740) 349-1420, (800) 722-6096, or
Lorrie.Miller@LCountyDD.org.
The LCBDD will thoroughly investigate all complaints and
will not retaliate against any person who files a
complaint. You also may file a complaint with:
The Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington D.C., 20201
(800) 368-1019
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