Policy Information

Patient Bill of Rights

The Clay-Battelle Health Services Association adopts and affirms as policy the following rights of patients who receive services from CBHSA employees and health care providers.

This policy affords you, the patient/ client the following rights:

1. Considerate and respectful care.
2. Receive, upon request, the name and training of the person in charge of your care.
3. The name and function of any person providing services to you.
4. Obtain from the person responsible for your health care complete and current information concerning your diagnosis, treatment, and expected outlook in terms you can be reasonably expected to understand. When it is not medically advisable to give such information to you, the information shall be made available to an appropriate person on your behalf.
5. Receive information necessary to give informed consent prior to the start of any procedure and/or treatment, except for emergency situations. This information shall include as a minimum: an explanation of the specific procedure or treatment itself; its value and significant risks; and an explanation of other possible treatment methods, if any.
6. Refusal of treatment and to be informed of the medical or other consequences of your action.
7. Privacy to the extent consistent with adequate medical care. Care discussions, consultation, examination, and treatment are confidential and should be conducted with adequate discretion.
8. Privacy and confidentiality of all records pertaining to your treatment, except as otherwise provided by law or third party payment contract.
9. A reasonable response to your request for services customarily rendered at the facility, and consistent with your treatment.
10. Expect reasonable continuity of care and to be informed, by the person responsible for you health care, of possible continuing health care requirements, if any.
11. The identity, upon request, of all health care personnel and health care institutions authorized to assist in your treatment.
12. Refuse to participate in research. Human experimentation affecting care or treatment shall be performed only with your informed consent.
13. Upon request, examine and receive an itemized explanation of your bill, regardless of the source of payment.
14. Knowledge of the facility’s rules and regulations that apply to your conduct as a patient.
15. Treatment without discrimination as to race, color, creed, religion, sex, national origin, source of payment, political belief or handicap.
16. The right to have your complaints and grievances regarding care provided in our facility heard and resolved according to the facility’s policies and procedures.
17. Expect reasonable response to your request for a particular provider as long as that provider’s training, experience and expertise is consistent with your condition and treatment.


HIPAA Patient Bill of Rights

1. Our patients have the right to access, copy, and inspect their health information.
2. Our patients have the right to request an amendment to their health care information.
3. Our patients have the right to obtain an accounting of certain disclosures of their health information.
4. Our patients have the right to request restriction on disclosures for treatment, payment and operations purposes.
5. Our patients have the right to alternative means of receiving communications from our providers.
6. Our patients have the right to complain about alleged violations of the regulations and the health center’s own information policies.


Read our full Notice of Privacy Practices

Patient Bill of Responsibilities

1. Provide complaints, past illnesses, hospitalizations, medications and treatments.
2. Comprehend course of action and treatment.
3. Keep appointments.
4. Follow treatment plans.
5. Patient assumes responsibility if treatment is refused
6. Assume responsibility for following facility rules and regulations regarding patient care and conduct.
7. Consideration of the rights of other patients and staff
8. Assume responsibility for respecting other’s property.
9. Conduct self in a respectful manner while on premises.
10. Inform care provider of any change in condition or adverse reaction.
11. Pay for services rendered by the facility
12. Be an active participant in the Patient Centered Medical Home project, assisting our providers in achieving the best health outcomes possible.


Payment Policy

POLICY: While the Clay-Battelle Health Services Association will not deny services to those without ability to pay, it is our intention to collect fair reimbursement for our services from those with the ability to pay.

PROCEDURE: Payment is expected at the time services are rendered unless other arrangements are made in writing with authorized employees of the Health Center.

Responsibility for payment of any account lies with the patient (or parent/guardian if the patient is a minor.) Our professional services are rendered and charged to the patient, not to an insurance company.

As a courtesy to our patients, we will bill an insurance company or other third party, including Medicaid, as designated by the patient. However, the patient is responsible for the amount designated by the carrier as deductible and/or any co-payment.

Most insurance companies pay only a portion of the cost of professional services. We encourage our patients to be fully aware of the provisions of their policies.

Traditional Medicare recipients have no deductible to pay at our health centers. Under a special agreement between Medicare and the health centers, patients are not required to meet the $100 deductible. However, the patient is still responsible for the 20% co-payment.


Dental No Show Policy

The goal of the Clay-Battelle Health Services Association is to provide quality dental care in a timely fashion to our patients. In order to accomplish this, we must keep the number of broken and failed appointments to a minimum. Therefore, we have implemented the following policy:
All dental patients at the Clay-Battelle Community Health Center are asked to call 24 hours in advance if it is necessary to cancel an appointment that they have scheduled with us. While we understand that this is not always possible, some patients are chronically abusing our appointment system by repeatedly failing their appointments with no notice. This forces other patients to delay treatment since they cannot get an appointment in a timely fashion.