Notice of Privacy Practices

How Momentum Behavior Services protects your health information, your rights, and how your data may be used and shared.

Effective Date: 02/16/2026

THIS NOTICE EXPLAINS HOW YOUR HEALTH INFORMATION MAY BE USED AND SHARED, AND HOW YOU CAN ACCESS IT. PLEASE REVIEW IT CAREFULLY.

Our Commitment to Protecting Your Privacy

Momentum Behavior Services is dedicated to protecting your personal and health information. As part of delivering Applied Behavior Analysis (ABA) therapy and related services, we create and maintain records about your care.

We comply with the Health Insurance Portability and Accountability Act (HIPAA), as well as applicable state laws in Minnesota and California, which may provide additional protections for your information.

Protected Health Information (PHI) includes any information that identifies you and relates to your health, care, or payment for services.

This Notice explains:

How we use and disclose your information
Your rights
Our legal responsibilities

We are required to follow this Notice.

Changes to This Notice

We may update this Notice at any time. Updates apply to all records we maintain. The most current version will always be available upon request and in our offices.

How We Use and Share Your Information

We may use and disclose your PHI without your written authorization for:

Treatment

To provide and coordinate care with therapists, physicians, and other providers.

Payment

To bill and collect payment from insurance providers or other payers.

Healthcare Operations

To run and improve our organization, including:

Quality assurance and staff training
Administrative functions
Customer service and complaint resolution

We may also create de-identified data that cannot identify you.

Other Permitted Uses and Disclosures

We may disclose your information when permitted or required by law, including:

Public health and safety reporting
Government oversight, audits, and investigations
Reporting abuse, neglect, or domestic violence
Legal proceedings and law enforcement
Preventing serious threats to safety
Workers’ compensation and similar programs
Correctional institutions
Approved research
Business associates who support our operations

Sharing with Family and Caregivers

Unless you object, we may share relevant information with individuals involved in your care. If you cannot make decisions, we may act in your best interest using professional judgment.

Uses Requiring Your Authorization

We will obtain your written permission for:

Most uses of psychotherapy notes
Marketing communications
Sale of your health information
Any other uses not described here

You may revoke your authorization at any time in writing.

Special Protections for Substance Use Disorder Records

Records related to substance use disorder treatment are protected under federal law (42 CFR Part 2) and require written consent for most disclosures.

Additional Privacy Protections Under State Law

California Privacy Rights (CMIA & CCPA/CPRA)

If you receive services in California, you have additional rights under California law:

Your medical information is protected under the California Confidentiality of Medical Information Act (CMIA)
We will not disclose your medical information without authorization except as permitted by law

You have the right to:

Request access to your records
Request corrections to inaccurate information
Request limits on certain uses

Under the California Consumer Privacy Act (CCPA/CPRA) (where applicable):

You have the right to know what personal information we collect and how it is used
You may request deletion of certain personal information, subject to healthcare exceptions
You have the right to request that your data is not sold; we do not sell PHI
You have the right to non-discrimination for exercising your privacy rights

Minnesota Privacy Rights

If you receive services in Minnesota, your information is also protected under Minnesota health privacy laws, including:

The Minnesota Health Records Act (Minn. Stat. §144.291–144.298)
We generally must obtain your consent before releasing your health records, except as allowed by law

You have the right to:

Access your health records within required timeframes
Request copies of your records, with fees limited as allowed by law
Request corrections to your records
Receive clear information about how your records are shared

Minnesota law may be more restrictive than HIPAA in certain cases, and we will follow the stricter standard.

Redisclosure Notice

Information disclosed under this Notice may be redisclosed by the recipient and may no longer be protected under federal law, unless otherwise restricted.

Fundraising Communications

We may contact you for fundraising purposes. You may opt out at any time. We will not use sensitive records, such as substance use disorder information, without your written consent.