Central Missouri State University
Department of Intercollegiate Athletics
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED BY THE DEPARTMENT OF INTERCOLLEGIATE ATHLETICS (ATHLETICS) AND
HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
I. Uses and Disclosures for Treatment, Payment, and Health Care Operations
Athletics may use or disclose your protected health information (PHI), for treatment, payment, and health
care operations purposes with your consent. To help clarify these terms, here are some definitions:
“PHI” refers to information in your health record that could identify you. All medical records and
other individually identifiable health information used or disclosed by a health care provider in the
course of treatment, payment or normal operations is protected health information. This applies
to electronic or written records, as well as oral communication.
”Treatment, Payment, and Health Care Operations”
– Treatment is when we provide, coordinate or manage your health care and other services related
to your health care.
- Payment is when we obtain reimbursement for your healthcare. Examples of payment are when
we disclose your PHI to your health insurer to obtain reimbursement for your health care or to
determine eligibility or coverage. Charges posted to your university account do not contain
protected health information.
- Health Care Operations are activities that relate to the performance and operation of Athletics.
Examples of health care operations are quality assessment and improvement activities, business-
related matters such as audits and administrative services, and case management and care
“Use” applies only to activities within Athletics, such as sharing, employing, applying, utilizing,
examining, and analyzing information that identifies you.
“Disclosure” applies to activities outside of Athletics, such as releasing, transferring, or providing