Does Elation Health Provide a Notice of Privacy Practices?

By NPP Generator Research Team  ·  Published Apr 25, 2026  ·  Last reviewed Apr 28, 2026  ·  3 min read

Elation Health Elation Health is a popular EHR for direct primary care (DPC), concierge medicine, and small ambulatory practices. A common assumption among new Elation Health customers is that the platform's HIPAA-compliant infrastructure or BAA covers the NPP requirement. It does not. The NPP is a covered-entity-side document — your practice produces it, distributes it, and posts it.

What Elation Health does provide for HIPAA compliance

Elation Health provides HIPAA-compliant infrastructure and contractual protections, but none of them are an NPP:

• HIPAA-compliant infrastructure
• BAA on appropriate plans
• DPC- and concierge-specific workflows
• Patient portal with customizable patient-facing notices
• Membership and direct-pay billing integration

Plan tiers and BAA availability

Elation Health offers tiered plans for DPC, concierge, and small practices. The BAA is included on appropriate tiers.

How to request the BAA from Elation Health

Elation Health's BAA is executed during onboarding. Contact Elation's contracting team for the BAA.

What the Elation Health BAA covers (and doesn't)

The Elation Health BAA binds Elation Health to HIPAA's safeguard obligations for PHI it handles on your behalf. It does not produce an NPP, fulfill your NPP-distribution obligation, or substitute for any patient-facing HIPAA documentation. The BAA covers vendor-side responsibilities; the NPP covers practice-side patient communications.

Alternatives if you need NPP support

DPC and concierge practices have specific NPP needs (cash-pay-specific language, membership structure). NPP Generator's tool handles these and produces an HHS-Feb-2026-aligned NPP for $49.

Setup after enabling Elation Health's HIPAA features

After producing the NPP, configure Elation patient portal to surface it at first encounter and post on the DPC practice website.

Common patient-facing scenarios with Elation Health

In day-to-day operations using Elation Health, several scenarios commonly surface NPP-related questions:

• New patient onboarding — present the practice's NPP at first encounter; capture acknowledgment electronically through the practice-management workflow
• Returning patients post-NPP-update — when the NPP materially changes, surface the updated NPP at the next encounter or via the patient portal
• Patient-portal NPP availability — make the NPP downloadable from the patient-portal documents area
• Right of Access requests — patients may request electronic copies of their records; the NPP describes this right and the practice's response process
• Vendor-relationship changes — if you switch from Elation Health to another EHR, the NPP may need updating to reflect the new vendor relationship

Audit-readiness with Elation Health

When OCR or a state regulator audits a practice using Elation Health, expect the auditor to request:

• Signed BAA between the practice and Elation Health
• Practice-issued NPP (current version)
• Acknowledgment-tracking documentation
• Evidence of patient-portal NPP availability
• Documentation of any data exchanges between the practice and other vendors (each requires its own BAA)

What changed in the HHS February 2026 model

The HHS February 2026 final rule introduced several NPP content updates that affect every covered entity, including practices using Elation Health: clarified Right of Access language, updated breach-notification provisions, refined marketing-communication requirements, and explicit safeguards-against-AI language. Practices issuing or updating NPPs after February 16, 2026 should align to the new model. Elation Health's patient-portal infrastructure typically supports either model; the document content is the practice's responsibility.