Confidentiality of Medical Records. Medical records of Enrollees pursuant to this Agreement shall be confidential and shall be disclosed to and by other persons within the Contractor's organization, including Participating Providers, only as necessary to provide medical care, to conduct quality assurance functions and peer review functions, or as necessary to respond to a complaint and appeal under the terms of this Agreement.
Appears in 2 contracts
Samples: Medicaid Managed Care Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Agreement (Amerigroup Corp)
Confidentiality of Medical Records. Medical records of Enrollees pursuant to this Agreement shall be confidential and shall be disclosed to and by other persons within the Contractor's organization, organization including Participating Providers, only as necessary to provide medical care, to conduct quality assurance functions and peer review functions, or as necessary to respond to a complaint and appeal under the terms of this Agreement.
Appears in 2 contracts
Samples: Medicaid Advantage Contract Attestation (Wellcare Health Plans, Inc.), Primary Care Partial Capitation Provider (Pcpcp) Medicaid Managed Care Model Contract