Notice of Privacy Practices

Effective Date: May 1, 2026

Who This Notice Applies To

This Notice of Privacy Practices (“Notice”) describes the privacy practices of EverCare Home Care (EverCare Home Care, LLC) (“EverCare,” “we,” “us,” or “our”), a Michigan-based non-skilled home care agency specializing in in-home memory care for adults living with Alzheimer's disease, dementia, and related cognitive conditions, with services including personal care, companion care, and homemaker support, serving Oakland, Macomb, and Wayne counties.

We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable Michigan law to maintain the privacy of your protected health information (“PHI”), give you this Notice of our legal duties and privacy practices, follow the terms of the Notice currently in effect, and notify you if a breach of your unsecured PHI occurs.

This Notice applies to all PHI we create or maintain about you, whether on paper, electronically, or in conversation. It applies to all employees, caregivers, contractors, and volunteers who work for or with EverCare.

How We May Use and Disclose Your PHI Without Your Authorization

The following describes the ways we may use and disclose your PHI without obtaining your written authorization. Not every use or disclosure will be listed; instead, this Notice describes categories with examples.

1. For Treatment

We may use and share your PHI to provide and coordinate the home care services we deliver. Examples:

• A caregiver reads the service plan to understand your care needs, allergies, mobility limitations, and routines
• Our scheduler contacts your physician's office or family caregiver to coordinate timing of services
• A supervisor reviews caregiver notes to adjust your service plan

2. For Payment

We may use and share PHI to bill and collect payment for the services we provide. Examples:

• Submitting claims to a Medicaid waiver program (such as MI Choice), long-term care insurance, the Veterans Administration, or another payor
• Verifying coverage with your insurance carrier
• Following up on unpaid invoices with you or a responsible party

3. For Health Care Operations

We may use and share PHI to run our agency, ensure quality, and comply with the law. Examples:

• Quality assurance reviews of caregiver documentation
• Caregiver training and competency evaluation
• Internal audits, risk management, and compliance activities
• Business planning and management

4. To You and Your Personal Representative

We will provide PHI to you, and to anyone you have designated in writing as your personal representative, consistent with state and federal law.

5. To Family, Friends, and Others Involved in Your Care

Unless you object, we may share PHI relevant to a person's involvement in your care or payment for your care with a family member, friend, or other person you identify. In an emergency or when you are unable to express your wishes, we will use professional judgment to determine whether sharing is in your best interest.

6. As Required by Law

We will disclose PHI when required by federal, state, or local law. Examples:

• Reporting suspected abuse, neglect, or exploitation of a vulnerable adult or child as required by Michigan law
• Reporting certain communicable diseases or conditions to public health authorities
• Responding to court orders, subpoenas, or other lawful legal process

7. Public Health and Safety

We may disclose PHI to:

• Public health authorities to prevent or control disease, injury, or disability
• Authorities responsible for receiving reports of abuse, neglect, or domestic violence
• The Food and Drug Administration regarding adverse events involving medical products
• Persons or entities permitted by law to address a serious threat to health or public safety

8. Health Oversight Activities

We may disclose PHI to a health oversight agency for activities authorized by law, including audits, investigations, inspections, and licensure.

9. Workers' Compensation

We may disclose PHI as authorized by, and to the extent necessary to comply with, workers' compensation laws.

10. Law Enforcement

We may disclose PHI to law enforcement as required or permitted by law (for example, in response to a court order or subpoena, to identify or locate a suspect, or to report a crime).

11. Coroners, Medical Examiners, and Funeral Directors

We may disclose PHI to coroners, medical examiners, and funeral directors as necessary to carry out their duties.

12. Organ and Tissue Donation

If you are an organ donor, we may disclose PHI to organizations that handle organ procurement, transplantation, or related activities.

13. Research

We may use or disclose PHI for research that has been approved through a process that protects your privacy.

14. Specialized Government Functions

We may disclose PHI for military, national security, intelligence, presidential protective, and certain other specialized government functions.

15. Inmates

If you are an inmate of a correctional institution, we may disclose PHI to the correctional institution as necessary for your care or for the safety of others.

16. Business Associates

We may disclose PHI to outside vendors who perform services on our behalf — for example, billing services, electronic medical record providers, scheduling software vendors, IT support, accountants, and consultants. Each Business Associate signs a written agreement requiring them to protect your PHI to the same standard we do.

Uses and Disclosures That Require Your Written Authorization

We will obtain your written authorization before using or disclosing your PHI for any of the following:

• Marketing communications that involve payment from a third party
• Sale of PHI
• Most uses and disclosures of psychotherapy notes (if applicable)
• Any other use or disclosure not described in this Notice or otherwise required by law

You may revoke your authorization at any time, in writing. Revocation will not affect any disclosures already made in reliance on your authorization.

Your Rights Regarding Your PHI

You have the following rights with respect to PHI we maintain about you. To exercise any of these rights, submit a written request to our Privacy Officer at the address below.

1. Right to Access and Copy

You have the right to inspect and obtain a copy of your PHI maintained in a designated record set, in the format you request if readily producible (paper or electronic). We may charge a reasonable, cost-based fee. We may deny your request in limited circumstances; if we do, you may request a review of the denial.

2. Right to Request Amendment

If you believe PHI we maintain about you is incorrect or incomplete, you may ask us to amend it. We may deny your request if the information is accurate and complete, was not created by us, is not part of the designated record set, or is not the type of information you would be permitted to inspect or copy. If we deny your request, you may submit a statement of disagreement.

3. Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures of your PHI we have made in the six (6) years prior to your request. The list will not include disclosures made for treatment, payment, or health care operations; disclosures made directly to you or your personal representative; or disclosures made pursuant to your authorization. The first accounting in any 12-month period is free; we may charge a reasonable, cost-based fee for additional requests.

4. Right to Request Restrictions

You have the right to request that we restrict how we use or disclose your PHI for treatment, payment, or health care operations, or to a person involved in your care. We are not required to agree to your request, except: if you pay for a service in full, out of pocket, you may require us not to disclose information about that service to your health plan, except as required by law.

5. Right to Request Confidential Communications

You have the right to ask us to communicate with you in a specific way or at a specific location (for example, by mail to a P.O. Box rather than by phone at home). We will accommodate reasonable requests.

6. Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically. To get a paper copy, contact us at the number or address below or ask any EverCare staff member.

7. Right to Be Notified of a Breach

You have the right to be notified if there is a breach of your unsecured PHI, as required by law.

8. Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

To file a complaint with EverCare, contact our Privacy Officer (information below).

To file a complaint with the federal government:

U.S. Department of Health and Human Services, Office for Civil Rights
200 Independence Avenue, S.W., Room 509F, HHH Building
Washington, D.C. 20201
Phone: 1-877-696-6775
Online: www.hhs.gov/ocr/complaints/

Our Duties

EverCare is required by law to:

• Maintain the privacy and security of your PHI
• Provide you with this Notice of our legal duties and privacy practices
• Follow the terms of the Notice currently in effect
• Notify you following a breach of unsecured PHI

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain. Any new Notice will be posted on our website at www.evercarehomehealth.net and made available at our office. You may request a copy of the most recent Notice at any time.

More Stringent State Law

Where Michigan law provides greater protection of your health information than HIPAA, we follow Michigan law.

Contact — Privacy Officer

If you have questions about this Notice, want to exercise any of your rights, or want to file a complaint, please contact:

Privacy Officer
EverCare Home Care
43313 Woodward Ave., #1205
Bloomfield Hills, MI 48302
Phone: (586) 326-3256 (answered 24/7)
Email: info@evercarehomehealth.net

Acknowledgment of Receipt

A separate Acknowledgment of Receipt of Notice of Privacy Practices form is provided at the start of services. Signing the acknowledgment confirms you received the Notice; it does not waive any of your rights.