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.


Notice of Privacy Practices

Effective Date: April 16, 2026

This Notice of Privacy Practices ("Notice") applies to A Miracle Home Care Co. and A Miracle Home Care Skilled Services Co. (collectively, "we," "us," or "our"), located at 10490 Taconic Terrace, Suite 200, Cincinnati, Ohio 45215. We are committed to protecting the privacy of your health information and are required by law to do so.


1. Our Legal Duty

We are required by law to:

• maintain the privacy and security of your protected health information ("PHI");

• provide you with this Notice describing our legal duties and privacy practices;

• notify you following a breach of your unsecured PHI; and

• follow the terms of the Notice currently in effect.

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We will post a revised Notice on our website and make it available upon request.


2. How We May Use and Disclose Your Health Information

The following describes the ways we may use and disclose PHI without your written authorization.

A. For Treatment.We may use and disclose PHI to provide, coordinate, or manage your care and related services. Example: We may share information about your care plan with a visiting nurse, case manager, or other health care provider involved in your treatment.

B. For Payment.We may use and disclose PHI to obtain payment for services we provide. Example: We may submit information about services provided to Medicare, Medicaid, a managed care organization, or a private insurer to receive reimbursement.

C. For Health Care Operations.We may use and disclose PHI for our internal operations. Example: We may review records to evaluate the quality of care provided, conduct staff training, or perform compliance audits.

D. As Required by Law.We will disclose PHI when required to do so by federal, state, or local law.

E. For Public Health Activities.We may disclose PHI to public health authorities authorized by law to collect or receive such information for purposes of controlling disease, injury, or disability.

F. For Health Oversight Activities. We may disclose PHI to a government agency authorized to conduct health oversight activities, such as audits, inspections, licensure, or investigations.

G. In Response to Legal Process.We may disclose PHI in response to a court or administrative order, subpoena, discovery request, or other lawful process, subject to applicable legal requirements.

H. To Avert a Serious Threat to Health or Safety. We may use or disclose PHI when necessary to prevent a serious and imminent threat to the health or safety of a person or the public.

I. For Workers’ Compensation.We may disclose PHI to the extent authorized by and necessary to comply with workers’ compensation laws or similar programs.

J. To Business Associates.We may share PHI with our business associates who perform services on our behalf (such as billing companies or IT providers) under a written agreement requiring them to safeguard your information.

K. To Family Members or Authorized Representatives. We may disclose PHI to a family member, friend, or other person you identify as being involved in your care, or to an authorized personal representative, to the extent permitted by law and consistent with your expressed preferences.

L. For Specialized Government Functions. We may disclose PHI for purposes such as military and veterans’ affairs, national security and intelligence activities, and protective services for the President.


3. Special Protections for Substance Use Disorder (SUD) Records

If we create or maintain records related to treatment for a substance use disorder (SUD) that are subject to 42 CFR Part 2, those records are subject to additional federal protections beyond standard HIPAA requirements.

Prohibition on Use in Legal Proceedings.A record of SUD treatment that is subject to 42 CFR Part 2 — or testimony disclosing the content of such a record — may not be used or disclosed in any civil, criminal, administrative, or legislative proceeding against the individual without: (a) the individual’s prior written consent; or (b) a court order that complies with 42 CFR Part 2. Example: If you received treatment for alcohol or opioid use disorder, records of that treatment may not be disclosed to a prosecutor or used in a criminal proceeding against you without your consent or a qualifying court order.


4. Uses and Disclosures That Require Your Written Authorization

For uses and disclosures not described in this Notice, we will ask for your written authorization before using or disclosing your PHI. Uses and disclosures that require your authorization include:

• Most marketing communications;

• Sale of PHI;

• Psychotherapy notes (if applicable); and

• Any other use or disclosure not otherwise permitted or required by law.

You may revoke your authorization at any time in writing. We will honor your revocation except where we have already taken action in reliance on the authorization, or where the authorization was a condition of obtaining insurance coverage.


5. Your Rights Regarding Your Health Information

A. Right to Access Your PHI.You have the right to inspect and obtain a copy of PHI we maintain about you in a designated record set. We may charge a reasonable, cost-based fee. We will respond to your request within 30 days.

B. Right to Request Amendment.If you believe PHI we maintain about you is inaccurate or incomplete, you may request an amendment. We may deny the request under certain circumstances, in which case we will explain our reasons in writing.

C. Right to an Accounting of Disclosures. You may request a list of certain disclosures we have made of your PHI during the six years prior to your request. This right does not apply to disclosures for treatment, payment, or health care operations, or disclosures you authorized.

D. Right to Request Restrictions.You may request that we restrict certain uses or disclosures of your PHI. We are not required to agree to all requests. However, if you paid for services entirely out of pocket and ask us not to disclose PHI related to those services to a health plan, we must honor that request.

E. Right to Request Confidential Communications. You may request that we communicate with you about your PHI by a specific means or at a specific location (for example, only by mail to a particular address). We will accommodate all reasonable requests.

F. 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.


6. How 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, Office for Civil Rights. We will not retaliate against you for filing a complaint.

To file a complaint with us, please contact:

A Miracle Home Care Co. / A Miracle Home Care Skilled Services Co.

Attn: Privacy Officer

10490 Taconic Terrace, Suite 200, Cincinnati, Ohio 45215

Phone: (513) 793-2000

Email: info@amiraclehomecare.com

To file a complaint with HHS Office for Civil Rights:

U.S. Department of Health and Human Services

Office for Civil Rights

200 Independence Avenue, S.W., Washington, D.C. 20201

Phone: 1-800-368-1019 | TDD: 1-800-537-7697

Website: www.hhs.gov/ocr/privacy/hipaa/complaints


7. Contact Information

For questions about this Notice or our privacy practices, please contact our Privacy Officer:

A Miracle Home Care Co.

10490 Taconic Terrace, Suite 200

Cincinnati, Ohio 45215

Phone: (513) 793-2000

Email: info@amiraclehomecare.com


A Miracle Home Care Co.| A Miracle Home Care Skilled Services Co.

10490 Taconic Terrace, Suite 200, Cincinnati, Ohio 45215 |(513) 793-2000 | info@amiraclehomecare.com

Effective: April 16, 2026