ENROLLEE-PROVIDER COMMUNICATIONS. Subject to this Article V, Section 5.1(g), and in accordance with the Managed Care Reform and Patient Rights Act, the Contractor shall not prohibit or otherwise restrict a Provider from advising an Enrollee about the health status of the Enrollee or medical care or treatment for the Enrollee's condition or disease regardless of whether benefits for such care or treatment are provided under this Contract, if the Provider is acting within the lawful scope of practice, and shall not retaliate against a Provider for so advising an Enrollee.
Appears in 2 contracts
Samples: Wellcare Health Plans, Inc., Amerigroup Corp
ENROLLEE-PROVIDER COMMUNICATIONS. Subject to this Article V, Section 5.1(g5.1 (g), and in accordance with the Managed Care Reform and Patient Rights Act, the Contractor shall not prohibit or otherwise restrict a Provider from advising an Enrollee about the health status of the Enrollee or medical care or treatment for the Enrollee's condition or disease regardless of whether benefits for such care or treatment are provided under this Contract, if the Provider is acting within the lawful scope of practice, and shall not retaliate against a Provider for so advising an Enrollee.
Appears in 1 contract
Samples: Furnishing Health Services (Wellcare Health Plans, Inc.)
ENROLLEE-PROVIDER COMMUNICATIONS. Subject to this Article V, Section 5.1(g5.1(f), and in accordance with the Managed Care Reform and Patient Rights Act, the Contractor shall not prohibit or otherwise restrict a Provider from advising an Enrollee about the health status of the Enrollee or medical care or treatment for the Enrollee's ’s condition or disease regardless of whether benefits for such care or treatment are provided under this Contract, if the Provider is acting within the lawful scope of practice, and shall not retaliate against a Provider for so advising an Enrollee.
Appears in 1 contract
Samples: www2.illinois.gov