NOTICE OF PRIVACY PRACTICES

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

This Notice describes the privacy practices of Central Health Plan of California, Inc., which is one of Molina Healthcare’s affiliated health plans (referred to herein as “Molina,” “we,” or “our”). We use and share protected health information (“PHI”) about you to provide your health benefits as our member. We use and share your PHI to carry out treatment, payment, and health care operations. We also use and share your PHI for other reasons as allowed and required by law. We have the duty to keep your health information private and to follow the terms of this Notice. The effective date of this Notice is February 1, 2026.

PHI is health information that includes your name, member number, or other identifiers, and is used or shared by us. PHI includes health information about substance use disorders and biometric information (such as a voiceprint).

Why do we use or share your PHI?

We use or share your PHI to provide you with health care benefits. Your PHI is also used or shared for treatment, payment, and health care operations.

For Treatment

We may use or share your PHI to give you, or arrange for, your medical care. This includes referrals between your doctors or other health care providers. For example, we may share information about your health condition with a specialist so they can coordinate your care.

For Payment

We may use or share PHI to make decisions on payment. This may include claims, approvals for treatment, and determinations of medical necessity.

For Health Care Operations

We may use or share PHI to operate our health plan(s). This includes notifying you of health programs, resolving your concerns, and ensuring claims are paid correctly.

Health care operations include, but are not limited to:

  • Improving quality
  • Health programs for members with specific conditions (such as asthma)
  • Conducting or arranging medical reviews
  • Legal services, including fraud and abuse detection
  • Actions to comply with laws
  • Resolving complaints and grievances

We may share your PHI with other companies (“business associates”) that perform services for our health plan(s). We may also use your PHI for appointment reminders and to provide information about other health-related benefits and services.

When can we use or share your PHI without your authorization?

In addition to treatment, payment, and health care operations, the law allows or requires use or sharing of PHI for the following purposes:

Required by Law

We may use or share PHI as required by law or by the Department of Health and Human Services.

Public Health

PHI may be shared for public health activities, including preventing or controlling disease.

Health Care Oversight

PHI may be shared with government agencies for audits or oversight activities.

Research

PHI may be used or shared for research when approved by applicable review boards.

Legal or Administrative Proceedings

PHI may be shared in response to court orders or legal processes.

Law Enforcement

PHI may be shared with law enforcement to help locate a suspect, witness, or missing person.

Health and Safety

PHI may be shared to prevent a serious and imminent threat to health or safety.

Government Functions

PHI may be shared for special government functions, such as protecting the President.

Victims of Abuse, Neglect, or Domestic Violence

PHI may be shared with legal authorities if we believe a person is a victim of abuse or neglect.

Workers’ Compensation

PHI may be used or shared to comply with Workers’ Compensation laws.

Other Disclosures

PHI may be shared with funeral directors or coroners to assist them in their duties.

Additional Restrictions on Use and Disclosure

Certain federal and state laws provide additional protections for sensitive information, including substance use disorder information, biometric data, genetic information, mental health records, reproductive health information, and information about minors. We follow the most restrictive law that applies to us.

Substance Use Disorder Information

Although we are not a substance use disorder treatment program, we may receive information from such programs. We may not disclose this information without your written consent or a valid court order.

When do we need your written authorization?

We need your written authorization to use or share your PHI for purposes not described in this Notice, including most psychotherapy notes, marketing, and the sale of PHI. You may revoke your authorization at any time.

Your Health Information Rights

  • Request restrictions on PHI sharing
  • Request confidential communications
  • Review and obtain copies of your PHI
  • Request amendments to your PHI
  • Receive an accounting of disclosures

We may charge a reasonable fee for repeated requests within a 12-month period.

Complaints

You may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Molina Healthcare
Attn: Appeals and Grievances
P.O. Box 22816
Long Beach, CA 90801-9977

Our Duties

  • Protect your PHI
  • Provide privacy notices
  • Notify you of breaches
  • Not use genetic information for underwriting
  • Follow this Notice

This Notice Is Subject to Change

We may change this Notice at any time. Updated versions will be posted on our website and included in annual member communications.

Contact Information

Call Member Services at the toll-free number on the back of your ID card. TTY/TDD users should call 711.

You may obtain this Notice in alternative formats such as large print, braille, or audio at no cost.

This Notice applies to health plans affiliated with Molina Healthcare, Inc., which operate as a single affiliated covered entity under HIPAA.