Birthing Options Program. The CONTRACTOR shall participate in HCA’s Birthing Options Program, as operated at the time of execution of this Agreement or as directed by HCA during the term of this Agreement. The Birthing Options Program is an out-of-hospital birthing option for pregnant women enrolled in the Medicaid program who are at low-risk for adverse birth outcomes. Birthing Options Program services are provided by an eligible midwife that enrolls as a Birthing Options Program provider with the Health Care Authority/Medical Assistance Division (HCA/MAD) for basic obstetric care for uncomplicated pregnancies and childbirth, including immediate newborn care that is limited to stabilization of the baby during this transition. The program does not cover the full scope of midwifery services nor replace pediatric care that should occur at a primary care clinic. The Birthing Options Program out-of-hospital birth locations include a pregnant Member's home or a Licensed Birth Center. The CONTRACTOR shall provide Members and/or their Representatives with written information on Advance Directives that includes a description of applicable State and federal law and regulation, the CONTRACTOR’s policies respecting the implementation of the right to have an Advance Directive and that complaints concerning noncompliance with Advance Directive requirements may be filed with HCA. The information must reflect changes in State law and regulation as soon as possible, but no later than ninety (90) Calendar Days after the effective date of such change. The CONTRACTOR shall honor Advance Directives within UM protocols. The CONTRACTOR shall ensure that Members are offered the opportunity to prepare Advance Directives and, upon request, are provided assistance in the process. The CONTRACTOR shall ensure that: Written information is provided to Members and/or their Representatives concerning their rights to accept or refuse medical or surgical treatment and to formulate Advance Directives, and informing Members of the CONTRACTOR’s policies and procedures with respect to the implementation of such rights, including the provision of a statement of any limitation regarding the implementation of Advance Directives as a matter of conscience; Documentation exists in the Member’s medical record and CCP, as applicable, whether or not the Member has executed Advance Directives; Discrimination against Members based on whether the Member has executed Advance Directives is prohibited in the provision of care or in any other manner; The CONTRACTOR complies with requirements of State and federal statutes and regulations respecting Advance Directives; and Education is provided for staff, Contract Providers, and the community on issues concerning Advance Directives.
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Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Birthing Options Program. The CONTRACTOR shall participate in HCAHSD’s Birthing Options Program, as operated at the time of execution of this Agreement or as directed by HCA HSD during the term of this Agreement. The Birthing Options Program is an out-of-hospital birthing option for pregnant women enrolled in the Medicaid program who are at low-risk for adverse birth outcomes. Birthing Options Program services are provided by an eligible midwife that enrolls as a Birthing Options Program provider with the Health Care AuthorityHuman Services Department/Medical Assistance Division (HCAHSD/MAD) for basic obstetric care for uncomplicated pregnancies and childbirth, including immediate newborn care that is limited to stabilization of the baby during this transition. The program does not cover the full scope of midwifery services nor replace pediatric care that should occur at a primary care clinic. The Birthing Options Program out-of-hospital birth locations include a pregnant Member's home or a Licensed Birth Center. The CONTRACTOR shall provide Members and/or their Representatives with written information on Advance Directives that includes a description of applicable State and federal law and regulation, the CONTRACTOR’s policies respecting the implementation of the right to have an Advance Directive and that complaints concerning noncompliance with Advance Directive requirements may be filed with HCAHSD. The information must reflect changes in State law and regulation as soon as possible, but no later than ninety (90) Calendar Days after the effective date of such change. The CONTRACTOR shall honor Advance Directives within UM protocols. The CONTRACTOR shall ensure that Members are offered the opportunity to prepare Advance Directives and, upon request, are provided assistance in the process. The CONTRACTOR shall ensure that: Written information is provided to Members and/or their Representatives concerning their rights to accept or refuse medical or surgical treatment and to formulate Advance Directives, and informing Members of the CONTRACTOR’s policies and procedures with respect to the implementation of such rights, including the provision of a statement of any limitation regarding the implementation of Advance Directives as a matter of conscience; Documentation exists in the Member’s medical record and CCP, as applicable, whether or not the Member has executed Advance Directives; Discrimination against Members based on whether the Member has executed Advance Directives is prohibited in the provision of care or in any other manner; The CONTRACTOR complies with requirements of State and federal statutes and regulations respecting Advance Directives; and Education is provided for staff, Contract Providers, and the community on issues concerning Advance Directives.
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