Notice of Privacy Practices – Summary – New Mexico

Dear Molina Healthcare Member,

Your privacy is important to us. We respect and protect Your privacy. Molina uses and shares Your information to provide You with health benefits. Molina wants to let You know how Your information is used or shared.

Your Protected Health Information

PHI means protected health information. PHI is health information that includes your name, member number or other identifiers, and is used or shared by Molina. PHI includes health information about substance use disorders and biometric information (like a voiceprint)

Why does Molina use or share our Member's PHI?

• To provide for your treatment
• To pay for your health care
• To review the quality of the care you get
• To tell you about your choices for care
• To run our health plan
• To use or share PHI for other purposes as required or permitted by law.

When does Molina need your written authorization (approval) to use or share your PHI?

Molina needs your written approval to use or share your PHI for purposes not listed above.

What are Your privacy rights?

• You can look at Your PHI
• You can get a copy of Your PHI
• You can amend Your PHI
• You can ask Us to not use or share Your PHI in certain ways. 
• You can get a list of people or places We have given Your PHI

How does Molina protect Your PHI?

Molina uses many ways to protect PHI.  This includes written or spoken PHI.  It includes PHI in a computer. Here are some ways Molina protects PHI:

• We have policies and rules to protect PHI.
• We limit who may see PHI. Only Molina staff who need to know PHI may use it.
• Our staff is trained on how to protect and secure PHI.
• Our staff must agree in writing to follow the rules and policies that protect and secure PHI
• We secure PHI in Our computers. PHI in Our computers is kept private with firewalls and passwords.

What must Molina do by law?

• Keep your PHI private.
• Give you written information, such as this on our duties and privacy practices about your PHI.
• Follow the terms of our Notice of Privacy Practices.

What can you do if you feel your privacy rights have not been protected?

• Call or write Molina and complain.
• Complain to the Department of Health and Human Services.

We will not hold anything against you. Your action would not change your care in any way.

The above is only a summary. Our full Notice of Privacy Practices has more information about how we use and share our members’ PHI. Please click on the link(s) below to read the full Notice of Privacy Practices for the following programs:

• Medicaid
• Medicare
• Marketplace
• Financial Information Privacy Notice (English)
• Financial Information Privacy Notice (Spanish)

We will be happy to answer your questions as a member of Molina Healthcare. You may call our Member Services Department at the toll-free phone number on the back of your Molina ID card.

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