Common use of CULTURAL AND LINGUISTIC NEEDS Clause in Contracts

CULTURAL AND LINGUISTIC NEEDS. 27-28 5.15 ENROLLEE COMPLAINTS AND GRIEVANCES/APPEALS ................................................ 29 5.15.1 GENERAL REQUIREMENTS ........................................................................................ 29 5.15.2 NOTIFICATION TO ENROLLEES OF GRIEVANCE/APPEAL PROCEDURE ......... 30 5.15.3 GRIEVANCE/APPEAL PROCEDURES......................................................................... 30-31 5.15.4 PROCESSING GRIEVANCES/APPEALS...................................................................... 31-32 5.15.5 RECORDS MAINTENANCE .......................................................................................... 32 5.16 MARKETING ................................................................................................................................. 32 5.16.1 GENERAL PROVISIONS - CONTRACTOR'S RESPONSIBILITIES .......................... 32-37 5.16.2 STANDARDS FOR MARKETING REPRESENTATIVES ........................................... 37-39 ARTICLE SIX: PROVIDER INFORMATION 1-5 6.1 GENERAL ....................................................................................................................................... 1 6.2 PROVIDER PUBLICATIONS ...................................................................................................... 1-2 6.3 PROVIDER EDUCATION AND TRAINING ............................................................................. 2-3 6.4 PROVIDER TELEPHONE ACCESS........................................................................................... 3-4 6.5 PROVIDER GRIEVANCES/APPEALS ...................................................................................... 4-5 ARTICLE SEVEN: TERMS AND CONDITIONS (ENTIRE CONTRACT) 1-54

CULTURAL AND LINGUISTIC NEEDS. 2728-28 29 5.15 ENROLLEE COMPLAINTS AND GRIEVANCES/APPEALS ................................................ 29 30 5.15.1 GENERAL REQUIREMENTS ........................................................................................ 29 30 5.15.2 NOTIFICATION TO ENROLLEES OF GRIEVANCE/APPEAL PROCEDURE ......... 30 31 5.15.3 GRIEVANCE/APPEAL PROCEDURES......................................................................... 3031-31 32 5.15.4 PROCESSING GRIEVANCES/APPEALS...................................................................... 3132-32 33 5.15.5 RECORDS MAINTENANCE .......................................................................................... 32 33-34 5.16 MARKETING ................................................................................................................................. 32 34 5.16.1 GENERAL PROVISIONS - CONTRACTOR'S RESPONSIBILITIES .......................... 3234-37 38 5.16.2 STANDARDS FOR MARKETING REPRESENTATIVES ........................................... 3738-39 41 ARTICLE SIX: PROVIDER INFORMATION 1-5 6.1 GENERAL ....................................................................................................................................... 1 6.2 PROVIDER PUBLICATIONS ...................................................................................................... 1-2 6.3 PROVIDER EDUCATION AND TRAINING ............................................................................. 2-3 6.4 PROVIDER TELEPHONE ACCESS........................................................................................... 3-4 6.5 PROVIDER GRIEVANCES/APPEALS ...................................................................................... 4-5 ARTICLE SEVEN: TERMS AND CONDITIONS (ENTIRE CONTRACT) 1-5455

CULTURAL AND LINGUISTIC NEEDS. 2730-28 32 5.15 ENROLLEE COMPLAINTS GRIEVANCES AND GRIEVANCES/APPEALS ................................................ 29 ............................................................................ 32 5.15.1 GENERAL REQUIREMENTS ........................................................................................ 29 32-33 5.15.2 NOTIFICATION TO ENROLLEES OF GRIEVANCE/GRIEVANCE AND APPEAL PROCEDURE ......... 30 PROCEDURES ................................................................................................................. 33 5.15.3 GRIEVANCE/GRIEVANCE AND APPEAL PROCEDURES......................................................................... 30PROCEDURES ............................................................... 33-31 34 5.15.4 PROCESSING GRIEVANCES/APPEALS...................................................................... 31GRIEVANCES AND APPEALS ............................................................ 34-32 35 5.15.5 RECORDS MAINTENANCE .......................................................................................... 32 35-36 5.16 MARKETING ................................................................................................................................. 32 36 5.16.1 GENERAL PROVISIONS - CONTRACTOR'S RESPONSIBILITIES .......................... 3236-37 41 5.16.2 STANDARDS FOR MARKETING REPRESENTATIVES ........................................... 3741-39 43 ARTICLE SIX: PROVIDER INFORMATION 1-5 6.1 GENERAL ....................................................................................................................................... 1 6.2 PROVIDER PUBLICATIONS ...................................................................................................... 1-2 3 6.3 PROVIDER EDUCATION AND TRAINING ............................................................................. 23-3 4 6.4 PROVIDER TELEPHONE ACCESS........................................................................................... 3-4 6.5 PROVIDER GRIEVANCES/APPEALS ...................................................................................... 4-5 ARTICLE SEVEN: TERMS AND CONDITIONS (ENTIRE CONTRACT) 1-54

CULTURAL AND LINGUISTIC NEEDS. 2729-28 31 5.15 ENROLLEE COMPLAINTS GRIEVANCES AND GRIEVANCES/APPEALS ................................................ 29 ............................................................................ 31 5.15.1 GENERAL REQUIREMENTS ........................................................................................ 29 31 5.15.2 NOTIFICATION TO ENROLLEES OF GRIEVANCE/GRIEVANCE AND APPEAL PROCEDURE ......... 30 PROCEDURES ................................................................................................................. 32 5.15.3 GRIEVANCE/GRIEVANCE AND APPEAL PROCEDURES......................................................................... 30PROCEDURES ............................................................... 32-31 33 5.15.4 PROCESSING GRIEVANCES/APPEALS...................................................................... 31GRIEVANCES AND APPEALS ............................................................ 33-32 34 5.15.5 RECORDS MAINTENANCE .......................................................................................... 32 34-35 5.16 MARKETING ................................................................................................................................. 32 35 5.16.1 GENERAL PROVISIONS - CONTRACTOR'S RESPONSIBILITIES .......................... 3235-37 40 5.16.2 STANDARDS FOR MARKETING REPRESENTATIVES ........................................... 3740-39 42 ARTICLE SIX: PROVIDER INFORMATION 1-5 6.1 GENERAL ....................................................................................................................................... 1 6.2 PROVIDER PUBLICATIONS ...................................................................................................... 1-2 6.3 PROVIDER EDUCATION AND TRAINING ............................................................................. 2-3 6.4 PROVIDER TELEPHONE ACCESS........................................................................................... 3-4 6.5 PROVIDER GRIEVANCES/GRIEVANCES AND APPEALS ...................................................................................... ............................................................................. 4-5 ARTICLE SEVEN: TERMS AND CONDITIONS (ENTIRE CONTRACT) 1-5455