Legal
HEALTHSPAN PARTNERS:
WEBSITE PRIVACY POLICY
Effective Date: March 20, 2026
1. Introduction and Program Participation
Healthspan Partners (“HSP,” “we,” “our,” or “us”) is a physician practice and a formal Participant in the GUIDE (Guiding an Improved Dementia Experience) Model, a program established by the Center for Medicare & Medicaid Innovation (CMMI).
To facilitate this program, we utilize electronic health record (EHR), billing, and eligibility systems provided by our technology partner, DictateMD, Inc. d/b/a Crosby Health.
We are committed to protecting your privacy and safeguarding your personal and health information.
2. Assessment of Insurance and Eligibility
The primary purpose of this website tool is to determine your insurance status and potential eligibility for participation in the GUIDE program.
Information Collected
We may collect:
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Full legal name
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Date of birth
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Medicare Beneficiary Identifier (MBI) and insurance details
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Contact information
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Limited health-related information relevant to eligibility
This information may constitute Protected Health Information (PHI) under HIPAA.
Authorized Representation
By using this tool, you represent that you are:
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The beneficiary, or
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A person with lawful authority to act on the beneficiary’s behalf (e.g., Power of Attorney, legal guardian, or healthcare proxy)
Prohibited Use
Use of this tool by unauthorized third parties, including commercial entities or brokers, is strictly prohibited.
3. Use of Information
We use the information submitted to:
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Verify Medicare eligibility
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Determine potential qualification for the GUIDE program
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Contact the beneficiary or caregiver regarding eligibility and services
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Support care coordination and program operations if enrollment occurs
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Comply with Medicare and CMS program requirements
Submission of information does not obligate you to enroll in our program.
4. Authorization to Check Eligibility
By submitting your information, you:
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Authorize Healthspan Partners to verify your Medicare eligibility
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Authorize us to share necessary information with Medicare, CMS systems, and authorized contractors
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Acknowledge that this information will be used to assess eligibility for the GUIDE program
5. Consent to Contact
By submitting your information, you provide express authorization for Healthspan Partners to contact you or your designated representative.
Purpose
If eligibility is indicated, we may contact you to:
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Discuss the GUIDE program
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Explain available dementia care services
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Facilitate enrollment
Methods
We may contact you via:
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Phone
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Email
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Mail
6. No Provider–Patient Relationship
Use of this website or submission of information does not establish a provider–patient relationship.
A provider–patient relationship is established only after:
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Eligibility is confirmed, and
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You formally agree to participate in services
7. No Sale of Information
Healthspan Partners maintains a strict no-sale policy.
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We do not sell or rent personal or health information
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We do not share mobile information for marketing or promotional purposes
8. Use of Third-Party Vendors (Business Associates)
We use third-party service providers, including Crosby Health, to support:
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Eligibility verification
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Documentation
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Billing and care coordination
These entities:
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Act as HIPAA-compliant Business Associates
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Are contractually obligated to safeguard your information
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May access information only to perform services on our behalf
9. HIPAA Compliance and Data Protection
As a healthcare provider, Healthspan Partners complies with HIPAA.
We implement administrative, technical, and physical safeguards, including:
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Encryption of data in transit and at rest
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Access controls based on least privilege
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Secure storage and system monitoring
We may use and disclose PHI for:
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Treatment
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Payment
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Healthcare operations
10. Data Security Disclaimer
While we take reasonable steps to protect your information:
No method of transmission over the internet is completely secure, and we cannot guarantee absolute security.
11. Data Retention
Information is retained in accordance with:
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CMS (Centers for Medicare & Medicaid Services) requirements
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HIPAA record retention standards
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Operational and compliance needs
Data may be stored in secure backups for continuity purposes.
12. Legal Disclaimers
Not Medical Advice
This eligibility tool provides preliminary assessments only and is not a substitute for professional medical advice or clinical judgment.
Warranty Disclaimer
This service is provided “as-is” without warranty of any kind.
Limitation of Liability
Healthspan Partners and its technology providers are not liable for damages arising from use of this tool.
13. Service Area and Eligibility Limitations
Services are available only to individuals who:
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Meet Medicare eligibility requirements
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Qualify under CMS GUIDE program criteria
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Reside within our service area
14. Your Rights
You may have rights under HIPAA, including:
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Access to your information
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Request for correction
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Request for restrictions
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Right to receive additional privacy information
15. Notice of Privacy Practices (HIPAA)
If you become a patient of Healthspan Partners, your medical information will be handled in accordance with our full Notice of Privacy Practices (NPP).
A complete copy is available upon request.
16. Contact Information
For questions about this Privacy Policy or your information:
Healthspan Partners of SWFL
Privacy Officer: Adam Perry
Email: adam.perry@healthspanswfl.com
Phone: 813-859-5819
17. Changes to This Policy
We reserve the right to update this Privacy Policy at any time.
Updates will be posted with a revised effective date. Continued use of this site constitutes acceptance of any updates.
Healthspan Partners is a healthcare provider participating in the Medicare GUIDE program. Information submitted through this site may include Protected Health Information (PHI) and will be used in accordance with HIPAA for purposes of eligibility determination, treatment, payment, and healthcare operations
For information on how your medical information is used once you become a patient, see our Notice of Privacy Practices