Effective October 21, 2016, Updated April 9, 2026

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

This Notice of Privacy Practices describes how Community Care of West Virginia, Inc. (CCWV) and each of its community health center facilities may use and disclose your protected health information to carry out treatment, payment, or healthcare operations and for other purposes that are required by law. It also describes your rights to access and control your protected health information. “Protected health information” (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related healthcare services.

1. OUR COMMITMENT TO YOUR PRIVACY

As part of our mission to provide quality, community-based healthcare services, we need to collect private medical and personal information from our patients. Under Federal and/or State laws, some of the medical and personal information you provide to us is considered to be protected health information. As your healthcare provider, we appreciate and respect your trust, and we are dedicated to maintaining the privacy of your protected health information.

In providing healthcare and conducting our business, we will create records regarding you and the treatment and services you receive from CCWV. This Notice of Privacy Practices describes how we may use and disclose your PHI to carry out treatment, payment, or health care operations, and for other purposes permitted or required by law. It also describes your rights to access and control your PHI. The terms of this Notice apply to all records containing your PHI that are created or retained by CCWV.

We maintain safeguards and enter into written agreements with our “business associates” and their subcontractors who handle PHI on our behalf, requiring them to protect your information in accordance with HIPAA.

2. OUR DUTIES TO YOU REGARDING PROTECTED HEALTH INFORMATION

Community Care of West Virginia is required by law to (1) make sure that medical information that identifies you is kept private; (2) give you this Notice of our legal duties and privacy practices with respect to medical information about you; (3) follow the terms of the Notice that is currently in effect; and (4) communicate any changes in the Notice to you.

We reserve the right to revise or amend this Notice of Privacy Practices at any time without prior notice. This Notice’s effective date is found at the top of the first page. We reserve the right to make any revision or amendment to this Notice effective for all of your records that CCWV has created or maintained in the past, as well as for any information we receive and for any records that we may create or maintain in the future. CCWV will post a copy of our current Notice in a visible location in our office at all times, and you may request a copy at any time. A copy also may be obtained from the Community Care website at www.ccwv.org.

If you have questions about this Notice, please contact our Privacy Officer by mail at 37 W. Main St., C/O Privacy Officer, Buckhannon, West Virginia 26201; by phone at (304) 473-5600, or by email at Privacy@ccwv.org.

3. USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION

A. Uses and Disclosures of Protected Health Information for Treatment, Payment, and Healthcare Operations

The law permits us to use or disclose your protected health information for the following purposes:

(1) TREATMENT. We may use your protected health information to treat you. We will use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. Doctors, nurses, technicians, pharmacists, psychologists, students, and other healthcare professionals involved in your care may access and use your medical information as needed to support your treatment.

For example, we may ask you to complete laboratory tests, such as blood or urine tests, and we use those results to help diagnose and understand your health needs. We may also use your PHI to write a prescription for you, or share the necessary information with a pharmacy when we order a prescription on your behalf. Our team, including medical providers, nurses, and other staff, may use or share your PHI as needed to care for you or to support specialists involved in your treatment.

We may use and share your protected health information (PHI) to help coordinate and manage your healthcare and any related services. This can include working with another healthcare provider involved in your care. For example, if you are referred to a specialist, we may share your PHI so they have the information they need to diagnose or treat you. We may also share your PHI with people who help care for you, such as your spouse, children, or parents, when appropriate.

(2) PAYMENT. Your protected health information will be used or disclosed, as needed, in order to bill for and to obtain payment for the healthcare services and other items you may receive from us. This may include certain activities we are required to undertake before we can obtain payment from your health insurance plan or another third party.

For example, we may contact your health insurer to certify that you are eligible for benefits (and to determine the range of benefits), and we may provide your insurer with details regarding your treatment to determine whether it will cover or pay for your treatment. We may also use and disclose your PHI to obtain payment from third parties that may be responsible for such costs, such as family members. We may also use your PHI to bill you directly for services and items.

You may request, and we must agree, to restrict disclosures of PHI to a health plan for payment or health care operations if you pay in full out‑of‑pocket for the item or service, unless disclosure is otherwise required by law.

(3) HEALTH CARE OPERATIONS. We will use or disclose your protected health information as needed to operate our business and support the daily activities of providing healthcare services. These uses and disclosures are necessary to operate our community health centers and ensure that all of our patients receive quality care.

As examples of the ways in which we may use and disclose your information for our operations, we may use your PHI to evaluate the quality of care you received from us, or to conduct cost-management and business planning activities for CCWV. We may also use your PHI for employee review activities, medical student training, licensing, marketing, limited fundraising activities, and conducting or arranging other business activities. We may also combine PHI from multiple health centers to determine which additional services they could offer, which services are not needed, and whether certain new treatments are effective.

For example, we may disclose your PHI to medical students who see patients in our office as part of their training. In addition, we may use a sign-in sheet at the registration desk and call you by name in the waiting room when your healthcare provider is ready to see you. We may use or disclose your PHI, as necessary, to contact you to remind you of your appointment.

We may also share your PHI with third-party “business associates” who perform various activities (e.g., laboratory services, x-ray services, pharmacy services, etc.) for us. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written Business Associate Agreement requiring them and any subcontractors to protect your PHI.

Because we constantly strive to improve the healthcare we provide, we may disclose information to our medical providers, nurses, technicians, students, other healthcare personnel, administrative staff, and Board of Directors for research studies and learning purposes. Where possible, we will remove information that specifically identifies you from this set of medical information; otherwise, disclosures for research purposes require your authorization, an IRB/Privacy Board waiver, or a limited data set under a Data Use Agreement.

Since we are a Federally Qualified Health Center (FQHC) and receive certain Federal and State grant funding, we have reporting obligations that require us to disclose PHI to certain governmental agencies, including the State of West Virginia and the U.S. Health Resources and Services Administration (HRSA). Where required or permitted by law, we will disclose only the minimum necessary information or use de-identified/limited data sets when appropriate.

INFORMATION PROVIDED TO YOU:

Appointment Reminders: We may use and disclose your medical information to contact you as a reminder of an appointment for treatment or medical care at our facilities. Unless you make an alternative request, these reminders may include sending postcards to your home or leaving limited messages on your answering machine or with whoever answers your phone, secure portal messages, text messages, or emails (where you have opted in), to remind you of appointments, to ask you to contact us concerning your care, or to seek or coordinate your participation in programs we offer, such as chronic disease management programs. We may also send you newsletters concerning treatment or care alternatives, benefits, services, and other general healthcare information.

Treatment Alternatives: We may use and disclose your medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.

Medical-Related Benefits and Services: We may use and disclose your medical information to tell you about medical-related benefits or services that may be of interest to you, such as classes for diabetes management, smoking cessation, stress management, etc.

Fundraising: We may use limited information (e.g., your name, contact information, treating department, dates of service, outcome information, and health insurance status) to contact you for fundraising purposes. You may opt out of further fundraising communications at any time, and your decision will not affect your care. Instructions for opting out will be included in each fundraising communication.

Marketing & Sale of PHI: We will not use or disclose your PHI for marketing that involves financial remuneration from a third party without your written authorization, and we will not sell your PHI without your authorization. Limited exceptions apply (e.g., face‑to‑face communications, nominal promotional items, refill reminders with cost‑related limits).

B. Uses and Disclosures of PHI Based Upon Your Written Authorization

Except as described in this Notice of Privacy Practices, other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described herein. If you do authorize us to use or disclose your PHI for another purpose, you may revoke your authorization at any time, in writing, except to the extent that CCWV or any of our healthcare providers have taken any action in reliance on the use or disclosure indicated in the authorization.

C. Other Permitted and Required Uses and Disclosures that May Be Made with Your Authorization or Opportunity to Object

We may use and disclose your protected health information in the situations listed below. You have the opportunity to agree or object to the use or disclosure of all or part of your PHI. If you are not present or able to agree or object to the use or disclosure of the PHI, then your healthcare provider may, using their professional judgment, determine whether the disclosure is in your best interest. In this case, only PHI relevant to your healthcare will be disclosed. Unless you object, we may disclose your PHI:

• To a member of your family, a relative, a close friend, your personal representative, or any other person that you involve in your care, but only to the extent that the PHI directly relates to that person’s involvement in your healthcare;

• To notify a family member or other person responsible for your care of your location, general condition, or death; or

• To entities (such as the American Red Cross) to assist in disaster relief efforts.

• See “Marketing & Sale of PHI” above regarding authorizations and prohibitions.

‍ D. Other Permitted and Required Uses and Disclosures That May Be Made Without Your Authorization or an Opportunity to Object

We may use or disclose your protected health information in the following situations that do not require your authorization or opportunity to object:

Required By Law: We may use or disclose your PHI to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with applicable law and limited to the requirements of that law. For example, the Office of Civil Rights or the Office of the Inspector General may require access to your PHI while conducting audits or investigations of reported privacy breaches or violations. You will be notified of any such uses or disclosures, as required by applicable law and the requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Public Health: We may disclose your PHI for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information.

As required by law, we may disclose your PHI to public health authorities for purposes related to: (1) preventing or controlling disease, injury, or disability; (2) reporting births and deaths; (3) reporting child abuse or neglect; (4) reporting domestic violence; (5) reporting to the Food and Drug Administration problems with products and reactions to medications; (6) notifying people of recalls of products they may be using; and (7) reporting disease or infection exposure to a person who may have been exposed or may be at risk for contracting or spreading a disease or condition.

We may also disclose your PHI to appropriate persons in order to prevent or lessen a serious and imminent threat to your health or safety, or the health or safety of another person or the general public. Any disclosure, however, would be made only to someone able to help prevent the threat. We may also disclose your PHI if directed by an appropriate public health authority to a foreign government agency that is collaborating with that authority. West Virginia law also requires reporting of weapon or burn-related injuries, cancer, and lead poisoning.

Communicable Diseases: We may disclose your PHI, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.

Health Oversight Activities: We may disclose your PHI to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, licensure, and other proceedings required by the government to monitor the healthcare system and government programs, and to ensure compliance with civil rights laws.

Food and Drug Administration: We may disclose your PHI to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, or biologic product deviations; to track products; to enable product recalls; to make repairs or replacements, or to conduct post-marketing surveillance, as required.

Legal Proceedings: If you are involved in a lawsuit or a dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose your PHI in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute. We will make a good-faith effort to inform you of all such requests as they are received.

Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel or veterans (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.

Abuse or Neglect: We may disclose your PHI to a law enforcement agency or to a public health authority, such as the Department of Health and Human Resources (DHHR) and Child Protective Services (CPS), that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your PHI if we believe that you have been a victim of abuse, neglect, or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable Federal and State laws.

Law Enforcement. We may disclose your PHI to law enforcement officials for purposes or in situations such as:

• Identifying or locating a suspect, fugitive, material witness, or missing person;

• In response to a court order, subpoena, warrant, summons, or similar process;

• About the victim of a crime, if, under certain limited circumstances, we are unable to obtain the person’s agreement;

• About a death we believe may be the result of criminal conduct;

• About criminal conduct at any of our health centers; 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.

Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose your PHI to the correctional institution or law enforcement official. This disclosure would be necessary (1) for the institution to provide you with medical 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.

Coroners, Funeral Directors, and Organ Donation: We may disclose PHI to a coroner or medical examiner for identification purposes, for determining cause of death, or for other duties authorized by law. We may also disclose PHI to funeral directors to carry out their duties. PHI may be used and disclosed for organ, eye, or tissue donation purposes.

Research: We may disclose your PHI for research that has been approved by an Institutional Review Board (IRB) or Privacy Board (PB). These boards review research proposals to ensure that your privacy is protected. For example, a study may compare how patients respond to different medications for the same condition.

All research must go through this special approval process. Before we use or disclose your PHI for research, the project will have been reviewed and approved. This process evaluates a proposed research project and its use of medical information, trying to balance the research needs with the patients’ right to privacy. 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 researchers in preparation for a research project, for example, to help them look for patients with specific medical conditions, so long as the medical information they review remains protected, does not leave the facility, and so long as the information sought is necessary for the research purpose. We will ask for your specific permission if the research involves treatment. If you are asked for such permission, you have the right to refuse.

Safety: We may disclose PHI to prevent or lessen a serious and imminent threat to the health or safety of the public or another person. Such disclosures may include reports to law enforcement, reports Child Protective Services (CPS) or Adult Protective Services (APS), or the filing of a petition for evaluation and/or involuntary commitment through the State’s Mental Hygiene process.

Worker’s Compensation: We may use and disclose your PHI, as necessary, to comply with workers’ compensation laws regarding work-related injuries or illnesses.

Substance Use Disorder (SUD) Records.If CCWV is a Part 2 program or receives Part 2 records, we protect those records under 42 C.F.R. Part 2. Additional restrictions and patient rights apply to SUD records. You may request a copy of the Notice of Privacy Practices: Part 2 (SUD) Program at any of our facilities or review a copy on our website.

4. NOTICE OF MORE STRINGENT REQUIREMENTS UNDER WEST VIRGINIA LAW

You should note that the foregoing summary of permitted uses and disclosures of PHI is based upon Federal requirements. Those requirements must be followed unless West Virginia law provides greater protection for PHI. In certain situations, West Virginia has adopted stronger protections for PHI than the Federal provisions. Since we provide your healthcare in West Virginia, these laws will apply even if you are a citizen of another state.

Mental Health Records:
Under West Virginia law, information created or obtained during the evaluation or treatment of a patient for mental or behavioral health is strictly confidential. We will not disclose your mental health records—including diagnoses, treatment details, or even the fact that you receive services—unless allowed by law. Limited exceptions include certain court proceedings, specific involuntary commitment processes, situations involving a serious and imminent safety threat, required reporting to federal background check systems, or disclosures permitted under HIPAA. Otherwise, we will not share this information without your authorization.

HIV‑Related Information: Under West Virginia law, the identity of a person who has received an HIV-related test and the results of such test may not be disclosed without the person’s consent. However, disclosure is permitted to certain parties, such as the victim of a sexual assault or to healthcare workers involved in the treatment of the person. Recipients of such information under one of these exceptions are prohibited from further disclosing the PHI.

5. YOUR RIGHTS REGARDING YOUR PHI

A. Right to Inspect and Obtain a Copy

This means you may inspect and obtain a copy of PHI about you that is contained in a designated record set for as long as we maintain the PHI. A “designated record set” contains medical and billing records that we use for making health care or business operation decisions about you.

Under Federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding; and PHI that is subject to a law that prohibits access to such information or was obtained from someone other than a healthcare provider upon a condition of confidentiality. You may request an appointment to inspect and copy your PHI by completing an Access Request form and submitting it to our Privacy Officer. If your request is granted, we will schedule a mutually convenient time for such action.

We are required to respond to your request to inspect and copy your records within thirty (30) days of receipt of your request if the requested information is maintained on-site, or within sixty (60) days if the information is maintained off-site. We also have the right to extend this response time by up to an additional thirty (30) days with written notice to you of the reasons for the delay and the date by which we will complete our action on your request. We may deny your request to inspect and copy your records in certain very limited circumstances. If you are denied access to medical information, you may request a review of the denial. One of our medical staff will review your request and the denial. The person conducting the review will not be the person who denied your request, and we will comply with the outcome of that review. When you request an electronic copy of your PHI that we maintain electronically (e.g., in an EHR), we will provide it in the electronic form and format you request if readily producible (or another readable electronic format if not). You may also request that we transmit a copy to a designated third party where permitted by HIPAA. Reasonable, cost‑based fees may apply.

Please note that all original health records we created in the course of your care remain our property. We are required to take reasonable measures to safeguard these records and to prevent unauthorized additions, deletions, or changes in these documents. Accordingly, while you have a general right to inspect and copy your medical records under Federal and State law, we must control the conditions and circumstances under which any inspection and copying occurs.

No patient or authorized representative will be permitted unsupervised access to any medical record, and no medical record may leave our control for inspection or copying. Under West Virginia law, we are permitted to charge you a fee for the cost of copying, mailing, or searching these records, except where expressly prohibited by such governing laws and regulations. If you request, we may prepare a summary of your PHI (a fee will be charged). You may request information concerning our fees from our Privacy Officer.

To request a copy of your medical information, contact the facility from which you are seeking information. The contact information for all CCWV facilities may be found at https://www.communitycarewv.org/. To request a copy of your billing information, contact CCWV Billing Department, P.O. Box 217, Rock Cave, WV 26234, or call (304) 924-6262.

B. Right to Request Restrictions

This means you may ask us not to use or disclose any part of your PHI for the purposes of treatment, payment, or healthcare operations. You may also request that any part of your PHI not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. In your request, you must tell us (1) what information you want restricted; (2) whether you want to restrict our use, disclosure, or both; (3) to whom you want the restriction to apply (for example, disclosures to your spouse); and (4) an expiration date.

We are not required to agree to a restriction that you may request. If the healthcare provider believes it is in your best interest to permit use and disclosure of your PHI, then it will not be restricted. If your healthcare provider agrees to the requested restriction, we may not use or disclose your PHI in violation of that restriction, except for emergency treatment. With this in mind, please discuss any restrictions you wish to request with your healthcare provider.

To the extent that you wish to restrict our ability to use or disclose your PHI for payment, we must agree to your request to restrict disclosure of PHI to a health plan for payment/operations when the PHI pertains solely to an item or service you (or someone on your behalf) paid for in full out‑of‑pocket, unless disclosure is otherwise required by law.

To request a restriction of your personal health information, please send your written request to: CCWV Health Information Management Department, P.O. Box 217, Rock Cave, WV 26234.

C. Right to Request to Receive Confidential Communications

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 of your personal health information, please send your written request to: CCWV Health Information Management Department, P.O. Box 217, Rock Cave, WV 26234.

If you desire for your billing information to be sent to another address, contact CCWV Billing Department, P.O. Box 217, Rock Cave, WV 26234, or call (304) 924-6262.

D. Right to Request Amendments

This means that you may request an amendment of PHI about you in a designated record set for as long as we maintain this information. To request an amendment, your request must be in writing on forms available from our Privacy Officer (Request for Amendment/Correction of PHI). You must provide a reason that supports your request.

Upon the receipt of a written request for amendment, we will consider your request and will make amendments based on the medical opinion of the healthcare provider who originated the entry. If the healthcare provider believes the entry should not be amended, we are not required to make any amendment. In addition, we may deny your request if you ask us to amend information that:

• Was not created by us, unless the person or entity that created the information is no longer available to make the amendment;

• Is not part of the designated record set kept by us;

• Is not part of the information which you would be permitted to inspect and copy; or

• Is accurate and complete.

If we deny your request for amendment, you have the right to file a statement of disagreement with us, and we may prepare a rebuttal to your statement. We will provide you with a copy of any such rebuttal. Your statement of disagreement may not exceed two hundred fifty (250) words. If you submit a statement of disagreement or clearly indicate in writing that you want your request for amendment to be made a part of your medical record, we will attach it to your records and include it whenever we make a disclosure of the item or statement you believe to be incomplete or incorrect.

For more information about requesting amendments to your designated record set, contact the CCWV Health Information Management Department, P.O. Box 217, Rock Cave, WV 26234, or call (304) 924-6262 or send a request to privacy@ccwv.org.

E. Right to Request an Accounting of Certain Disclosures We Have Made of Your Protected Health Information

This right applies to disclosures for purposes other than treatment, payment, or health care operations. This right does not apply to information provided to you or others pursuant to your authorization, to family members or friends you have involved in your care, or for certain government functions as addressed in this Notice of Privacy Practices. The right to receive this information is subject to certain other exceptions, restrictions, and limitations. The first accounting of disclosures you request within a 12-month period shall be free of charge, but we reserve the right to charge you for additional lists within the same 12-month period. We will notify you of the costs associated with your request, and you may withdraw it before incurring any costs. To request an accounting of applicable disclosures, contact the CCWV Health Information Management Department, P.O. Box 217, Rock Cave, WV 26234.

F. Right to Receive Notice of a Breach

You have the right to receive written notice if a breach of your unsecured PHI occurs, including a description of what happened and steps you can take to protect yourself.

G. Right to Obtain a Paper Copy of this Notice of Privacy Practices

You may ask us to give you a copy of this Notice at any time. Or, you may request a copy by contacting the CCWV Health Information Management Department, P.O. Box 217, Rock Cave, WV 26234. You may also download a copy from our website at https://www.communitycarewv.org/.

6. OTHER USES OF YOUR PHI

Other uses and disclosures of your PHI not covered by this Notice or the laws and/or regulations that apply to Community Care of West Virginia will be made only with your written permission. If you provide us with permission to use or disclose your PHI, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose your PHI for the reasons covered by your written authorization. We are unable to take back any disclosures we have already made with your permission, and we are required to retain records of the care that we provided to you under that written authorization.

Change of Ownership: In the event that Community Care of West Virginia is sold or merged with another organization, your medical information/record will become the property of the new owner.

Marketing Purposes – See Marketing and Sale of PHI above.

Use of Artificial Intelligence (AI)

CCWV may use secure, HIPAA‑compliant artificial intelligence (AI) tools to support certain healthcare operations, such as clinical documentation, care coordination, and quality improvement. These tools may access or process your protected health information (PHI) only for purposes permitted under the HIPAA Privacy Rule, and we apply the “minimum necessary” standard to all AI systems. Any AI vendor assisting our practice must sign a Business Associate Agreement (BAA) and follow all required privacy and security safeguards. In line with current federal guidance, we conduct AI‑specific risk assessments, maintain an inventory of AI systems that interact with electronic PHI, and monitor these tools for potential risks, vulnerabilities, or unauthorized disclosures. We do not use AI to replace your healthcare provider's clinical judgment, and we do not use PHI to train AI models unless permitted by law or with your written authorization. CCWV is committed to following whichever privacy law provides the greatest protection for your health information, and we will always comply with the stricter requirement—whether federal or state, including any future West Virginia laws governing the use of AI in healthcare.

7. CONTACT INFORMATION AND COMPLAINTS

If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your PHI or in response to a request you made to amend or restrict the use or disclosure of your PHI or to have us communicate with you in confidence by alternative means or at an alternative location, you may complain to us using the contact information listed at the end of this notice. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR), including online via the OCR Complaint Portal:https://ocrportal.hhs.gov/. You may also file a complaint with them in writing by sending a letter and appropriate signed consents to:

Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Bldg. 
Washington, D.C. 20201

We will not retaliate against you for filing a complaint.

Concerns about this Notice of Privacy Practices or how your protected health information is used or disclosed should be directed to the CCWV Privacy Officer at the following:

Community Care of WV

Attn: Privacy Officer
37 W. Main St.
Buckhannon, WV 26201
(304) 473-5600

You may also email the Privacy Officer at: Privacy@ccwv.org

NOTE: Individual facility names, addresses, and telephone numbers can be obtained on our website: https://www.communitycarewv.org/.

Community Care of West Virginia Values You as Our Patient and Remains Committed to Earning and Protecting Your Trust.

If you do not understand any portion of the foregoing Notice of Privacy Practices, or if you need someone to read it to you, please ask for assistance. We want you to understand what your protected health information is, how your PHI may be used or disclosed, and your rights to access or control your PHI.

We thank you for being our patient, and we look forward to continuing to work with you to improve your health and overall well-being!