Common use of Communications with Covered Persons Clause in Contracts

Communications with Covered Persons. Covered Persons are entitled to the full range of their Providers' opinions and counsel about the availability of Medically Necessary Services under the provisions of the State Contract. Any contractual provisions, including gag clauses or rules, that restrict a Provider's ability to advise Covered Persons about Medically Necessary treatment options violate federal law and regulations. Subcontractor and Health Plan shall not prohibit or otherwise restrict Provider, when acting within the lawful scope of practice, from advising or advocating on behalf of a Covered Person for the following:

Communications with Covered Persons. Covered Persons are entitled to the full range of their Providers' opinions and counsel about the availability of Medically Necessary Services under the provisions of the State Contract. Any contractual provisions, including gag clauses or rules, that restrict a Provider's ability to advise Covered Persons about Medically Necessary treatment options violate federal law and regulations. Subcontractor and Health Plan United shall not prohibit or otherwise restrict Provider, when acting within the lawful scope of practice, from advising or advocating on behalf of a Covered Person for the following: