Notice of Privacy Practices
Revised September 2, 2026
THIS NOTICE DESCRIBES HOW YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED, AS WELL AS HOW YOU CAN ACCESS THIS INFORMATION. PLEASE READ CAREFULLY. IF YOU HAVE ANY QUESTIONS, CONTACT OUR PRIVACY OFFICER. CONTACT INFORMATION IS LISTED ON THE LAST PAGE.
OUR PRIVACY COMMITMENT TO YOU
The Detroit Wayne Integrated Health Network (“DWIHN”) gets information about your physical and behavioral health when you enroll and begin receiving care and services through our provider networks. The information includes but is not limited to your birth date, gender, numbers assigned to you as a beneficiary in a public or private health plan, your past, present or future physical and behavioral health condition, your diagnosis, your plan of services and your address. We understand that medical information about you and your health is personal. We are committed to protecting your information. We refer to this information as "Protected Health Information" or "PHI".
This notice will tell you about the ways in which we may use and disclose your PHI. We also describe your rights and certain obligations we have regarding the use and disclosure of PHI. We are required by federal and state laws, including HIPAA, 42 CFR Part 2, and the Michigan Mental Health Code, to:
Maintain the privacy of your PHI.
Give you this notice describing how we use and share your PHI and your rights.
Follow the terms of this notice.
HOW WE MAY USE AND DISCLOSE PHI ABOUT YOU
We use and disclose PHI in many ways. For each category of uses or disclosures, we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed but other uses and disclosures not described below will be made only with your written authorization and can be revoked. However, all the ways we are permitted to use and disclose information will fall within one of the categories required by law.
For Treatment: We may use PHI about you to provide you with medical treatment or services. We may disclose PHI about you to doctors, nurses, technicians, nursing, psychologists, social workers, students preparing for a career in health care and other individuals who are involved in taking care of you. For example, a doctor treating you for a chemical imbalance may need to know if you have problems with your heart because some medications may affect your blood pressure. We may share your PHI for treatment to coordinate the different things you need, such as prescriptions, blood pressure checks, and lab tests, and to determine a correct diagnosis.
For Payment: We may use and disclose PHI about you so that the treatment and services you receive through the DWIHN provider network may be billed and payment may be collected from you, or on your behalf, from an insurance company or a third party. For example, we may need to give your health plan information about testing that you received at our facilities so your health plan will pay us or reimburse you for those services. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.
For Health Care Operations: We may use and disclose PHI about you for our business operations. These uses and disclosures are necessary to run our organization and make sure that everyone is receiving quality care. For example, we may use PHI to review our treatment and services and to evaluate the performance of the individuals caring for you. We may also gather PHI about DWIHN clients to decide what additional services we should offer, what services are not needed, and whether certain new treatments are effective. We may also disclose PHI about you to doctors, nurses, technicians, nursing, psychologists, social workers, students preparing for a career in health care and other individuals who are involved in taking care of you for review and learning purposes. We may also compare the PHI we have with PHI from other organizations and providers to determine how we are doing and see where we can make improvements in the care and services we offer. We may remove information that identifies you from this set of PHI so others may use it to study health care and health care delivery without learning the identity of any clients.
To Business Associates: We may contract with individuals or entities known as Business Associates to perform various functions on our behalf or to provide certain types of services. To perform these functions or to provide these services, Business Associates will receive, create, maintain, use, and/or disclose your protected health information, but only after they agree in writing with us to implement appropriate safeguards regarding your protected health information. For example, we may disclose your protected health information to a Business Associate to administer claims or to provide support services, such as utilization management, pharmacy benefit management or subrogation, but only after the Business Associate enters into a Business Associate Agreement with us.
For Appointment Reminders: We may use and disclose PHI to contact you as a reminder that you have an appointment for treatment, or medical care, within the DWIHN network of providers.
For Your Own Information: We may use and disclose PHI to tell you about your own health condition, such as your test results, to tell you about or recommend possible treatment options or alternatives, and to tell you about health-related benefits or services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care: We may disclose PHI about you to a family member or other person you designate if you give us permission to do so. We may also tell certain family members about your presence in a facility within our network, but only if the law permits us to do so. We may share PHI about you when necessary for a claim for aid, insurance, or medical assistance to be made on your behalf.
For Health Information Exchange (HIE): We, along with other health care providers in the state of Michigan participate in one or more health information exchanges (“HIE”). An HIE is a community-wide information system used by participating health care providers to share health information about you for treatment purposes. Should you require treatment from a health care provider that participates in one of these exchanges who does not have your medical records or health information, that health care provider can use the system to gather your health information to treat you. For example, he or she may be able to get laboratory or other tests that have already been performed or find out about the treatment that you have already received. We will include your PHI in this system.
For Research: Under certain circumstances, we may use and disclose PHI about you for research purposes. For example, a research project may involve comparing the health and recovery of all clients who received one medication to those who received another, for the same condition. All research projects, however, are subject to a special approval process. This process evaluates a proposed research project and its use of PHI, trying to balance the research needs with patients' need for privacy of their PHI. Before we use or disclose PHI for research, the project will have been approved through this research approval process, but we may, disclose PHI about you to people preparing to conduct a research project, for example, to help them look for clients with specific medical or behavioral health needs. We will always ask for your specific permission if the researcher will have access to your name, address or other information that reveals who you are, or will be involved in your care.
As Required by Law: We will disclose PHI about you when required to do so by federal, State or local law, such as laws that require us to report abuse.
To Avert a Serious Threat to Health or Safety: We may use and disclose PHI about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.
To Provide Breach Notification: As a covered entity, DWIHN is required by law to notify affected individuals following a breach of unsecured PHI. We may use and disclose your PHI, if necessary, to tell you and regulatory authorities or agencies of unlawful or unauthorized access to your PHI.
SPECIAL SITUATIONS WHEN WE MAY USE OR DISCLOSE PHI ABOUT YOU
Workers' Compensation: We may release PHI about you for workers' compensation or similar programs to comply with these and other similar legally established programs. These programs provide benefits for work-related injuries or illnesses.
Public Health Risks: We may disclose PHI about you when required for public health activities. These activities generally include the following:
- to prevent or control disease, injury or disability.
- to report births and deaths.
- to report child abuse or neglect.
- to report reactions to medications or problems with products.
- to notify people of product recalls of the products they may be using.
- to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.
- to notify the appropriate government authority if we believe a client has been the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
Health Oversight Activities: We may disclose PHI to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.
When applicable Federal and State law, including, but not limited to 42 CFR Part 2, HIPAA, and the Michigan Mental Health Code, DWIHN must disclose protected health information to MDHHS-OIG or the Department of Attorney General upon their written request, without first obtaining authorization from the beneficiary to disclose such information.
Abuse or Neglect: We may disclose PHI about you to a public health authority that is authorized by law to receive reports of child abuse or neglect. We may also disclose your PHI if we believe that you have been a victim of elder or dependent adult abuse, or neglect, provided the disclosure is authorized by law.
Lawsuits and Disputes: If you are involved in a lawsuit or a dispute, we may disclose PHI about you in response to a court or administrative order. We may also disclose PHI about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the privacy of the information requested.
Law Enforcement: We may release PHI if asked to do so by a law enforcement official:
in response to a court order, court-issued subpoena, court-issued warrant, summons or similar process.
- to identify or locate a suspect, fugitive, material witness, or missing person.
- about the victim of a crime if, under certain limited circumstances, we are unable to obtain the person's authorization.
- about criminal conduct at one of the facilities within our network of providers; and
- in emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
Protective Services for the President and Others: We may disclose PHI about you to authorized federal or government law enforcement officials so they may provide protection to the President, other authorized or elected persons or foreign heads of state or to conduct special investigations.
Protection and Advocacy Services: We may disclose PHI about you to the protection and advocacy agency established by law to investigate incidents of abuse and neglect, and to otherwise protect the legal and civil rights of people with disabilities.
Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose PHI about you to the correctional institution or law enforcement official. This disclosure would be necessary: (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.
National Security and Intelligence Activities: We may release PHI about you to authorized federal officials for intelligence, counterintelligence, and other national security activities as required by law.
YOUR RIGHTS REGARDING PHI ABOUT YOU
You have the following rights regarding PHI we maintain about you:
Right to Inspect and Copy: You have the right to inspect and copy your PHI that is used to make decisions about your care. Usually, this includes medical and billing records but does not include psychotherapy notes. You must submit your request in writing. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request. If your health information is available electronically, under certain circumstances, you may be able to obtain this information in an electronic format. We may deny your request to inspect and copy your PHI in certain limited circumstances. If you are denied access to PHI, you may request, in writing, that the denial be reviewed. Another licensed health care professional chosen by DWIHN will review your request and the denial. The person conducting the review will not be the person who previously denied your request. We will comply with the outcome of the review.
Right to Amend: If you feel that PHI we have about you is incorrect or incomplete, you may ask us to include additional information in your medical record. You have the right to request an amendment for as long as all the information, both old and new, is kept by or for DWIHN. To request an amendment, your request must be made in writing and submitted to DWIHN. In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
Right to an Accounting of Disclosures: You have the right to request an “accounting” of certain disclosures of your protected health information. The accounting will not include (1) disclosures for purposes of treatment, payment, or healthcare operations; (2) disclosures made to you; (3) disclosures made pursuant to your authorization; (4) disclosures made to friends or family in your presence or because of an emergency; (5) disclosures for national security purposes; and (6) disclosures incidental to otherwise permissible disclosures. To request this list or accounting of disclosures, you must submit your request in writing to the Privacy Officer at the address provided above under Contact Information. Your request must state a period of no longer than six years and may not include dates prior to your request. Your request should indicate in what form you want the list (for example, paper or electronic). We will attempt to provide the accounting in the format you requested or in another mutually agreeable format if the requested format is not reasonably feasible. The first list you request within a 12-month period will be provided free of charge. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the PHI we disclose about you to someone who is involved in your care or the payment for your care, like a family member. We will do our best to honor your request; however, except when you fully pay out-of-pocket as explained below, we are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request restrictions, you must make your request in writing, or we will provide you with a form to make your request. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
Right To Restrict Disclosure of Information For Certain Services: You have the right to restrict the disclosure of information regarding services for which you or someone else has paid in full or on an out-of-pocket basis (in other words you don't ask us to bill your health plan or health insurance company). If you or someone else has paid in full for a service, we must agree to your request and we will not share this information with your health plan without your written authorization, unless the law requires us to share your information.
Right to Request Confidential Communication: You have the right to request that we communicate with you about medical matters in a certain way, or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing to DWIHN. We will not ask you for the reason for your request. We will accommodate all reasonable requests. Your request must tell us how or where you wish to be contacted. If you do not tell us how or where you wish to be contacted, we do not have to honor your request.
Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you receive this notice electronically, you are still entitled to a paper copy of this notice. To obtain a paper copy of this notice, ask any of our office staff. You may obtain a copy of this Notice from our website at :
www.dwihn.org/privacy-practice-notice
Right to Discuss This Notice: You have the right to ask questions about this Notice and to discuss it with the DWIHN Privacy Officer. The Privacy Officer can explain how your information may be used or shared, help you understand your options, and assist you with making requests related to your privacy.
SPECIAL PROTECTIONS FOR SUBSTANCE USE DISORDER RECORDS
Some of the health information we maintain may relate to substance use disorder (SUD) diagnosis, treatment, or referral for treatment. This information may be subject to additional federal confidentiality protections under a law known as 42 C.F.R. Part 2, which provides greater privacy protections than HIPAA for certain records.
When these additional protections apply, we may be more limited in how we use or disclose this information, even for treatment, payment, or health care operations, unless you provide written consent or another legal exception applies.
SPECIAL USE AND DISCLOSURE OF YOUR SUD RECORDS
Legal Proceedings and Court Orders: We must follow certain procedures before using or sharing health information for investigations and legal proceedings. We will not use or share your information or provide testimony about your information in any civil, criminal, administrative, or legislative proceedings against you without your written consent or a court order. We will only respond to a court order or use or share your health information if it is accompanied by a subpoena or other similar legal mandate requiring us to comply. We will only use or share your information in proceedings against you based on a court order after we have received notice and the opportunity to be heard or you tell us that you have received notice. We may use or share your information to respond to legal proceedings against our program based on a court order and you may not be notified in advance. You have a right to seek to overturn or change the court order after you learn about it.
Notice of Potential Redisclosure: Information disclosed by us may be redisclosed by the recipient of the information and may no longer be protected under HIPPA or other federal privacy laws, unless another law applies. This applies to both general health information and, where permitted by law, SUD-related information.
YOUR RIGHTS REGARDING SUBSTANCE USE DISORDER INFORMATION
In addition to your rights under HIPAA, you may have the right to the following:
Right to request restrictions on certain disclosures of SUD records: You have the right to ask us to place limits on how we disclose your information when those disclosures are made with your prior permission for purposes such as treatment, payment, or routine health care operations. You also have the right to request, and receive, a restriction that prevents us from sharing information with your health plan about any services for which you have paid in full. When you make this type of request, we will honor it in the same way required under the federal HIPAA Privacy Rule, which gives patients the ability to block plans from receiving information about services they have completely paid for themselves. If you would like to request a restriction, please contact us using the information provided in this Notice.
Right to receive an accounting of disclosures of your SUD records: You have the right to request a record of certain disclosures of your electronic information made under the federal confidentiality rules for substance use treatment records. This record will cover a list of disclosures made during the past three years and will include who received your information and why it was shared. If you would like to request an accounting of substance use disclosures, please contact us using the information provided in this Notice.
Right to File a Complaint: You have a right to file a complaint with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.
OTHER USES OF PHI
Other uses and disclosures of PHI not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us with permission to use or disclose PHI about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose PHI about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
Authorization required: Psychotherapy Notes
DWIHN must obtain an authorization for any use or disclosure of psychotherapy notes, except:
To carry out the following treatment, payment, or health care operations:
(A) Use by the author of the psychotherapy notes for treatment;
(B) Use or disclosure by the covered entity (DWIHN) for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or
(C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual.
Authorization required: Marketing
Requires DWIHN to obtain an authorization for any use or disclosure of protected health information for marketing, except if the communication is in the form of:
(A) A face-to-face communication made by a covered entity to an individual; or
(B) A promotional gift of nominal value provided by the covered entity.
(C) If marketing involves a third party, the authorization must state that such remuneration is involved.
Authorization required: Sale of protected health information.
Requires that DWIHN obtain an authorization for any disclosure of protected health information which is a sale of protected health information. The authorization must state that the disclosure will result in remuneration to the covered entity.
CHANGES TO THIS NOTICE
DWIHN reserves the right to change the terms of this Notice at any time.
Any changes will apply to all protected health information we already have about you, as well as any information we receive in the future. We will post a copy of the current Notice in our office(s), and the effective date will be shown in the top right-hand corner of the first page. If we revise this Notice, you can obtain a copy by visiting our website or by requesting one from our office.
COMPLAINTS
If you believe your privacy rights have been violated, you may contact the Privacy Officer. You may also file a complaint with us, or the Secretary of Health and Human Services. All complaints to us must be submitted in writing. You will not be penalized or retaliated against for filing a complaint.
To file a complaint with us, or to submit comments or questions regarding our privacy practices, please contact:
DWIHN
Attn: Privacy Officer 8726
Woodward Ave.
Detroit, MI 48202-2135
To file a complaint with the Federal Government, contact:
U.S. Department of Health and Human Services
233 N. Michigan Ave., Suite 240
Chicago, IL 60601
Customer Response Center: (800) 368-1019FAX: (202) 619-3818TDD: (800) 537-7697 
