Enrollee Rights. The MCO shall have written policies regarding the rights of Enrollees and shall comply with any applicable Federal and State laws that pertain to Enrollee rights. When providing services to Enrollees, the MCO must ensure that its staff and affiliated Providers consider the Enrollee's right to the following:
Enrollee Rights. The Contractor must have written policies regarding the Enrollee rights specified in this appendix, as well as written policies specifying how information about these rights will be disseminated to Enrollees. Enrollees must be notified of these rights and protections at least annually, and in a manner that takes in to consideration cultural considerations, Functional Status, and language needs. The Contractor must comply with any applicable federal and State laws that pertain to Enrollee rights. Enrollee rights include, but are not limited to, those rights and protections provided by 42 C.F.R. § 438.100, 42 C.F.R. § 422 Subpart C, and the State Memorandum of Understanding (MOU). Specifically, Enrollees must be guaranteed: The right to be treated with dignity and respect. The right to be afforded Privacy and confidentiality in all aspects of care and for all health care information, unless otherwise required by law. The right to be provided a copy of his or her medical records, upon request, and to request corrections or amendments to these records, as specified in 45 C.F.R. part 164. The right to receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee’s condition, Functional Status, and language needs. The right not to be discriminated against based on race, ethnicity, national origin, religion, sex, gender identity, age, sexual orientation, medical or claims history, mental or physical disability, genetic information, or source of payment. The right to have all plan options, rules, and benefits fully explained, including through use of a qualified interpreter if needed. Access to an adequate network of primary and specialty providers who are appropriately qualified and capable of meeting the Enrollee’s needs with respect to physical access, and communication and scheduling needs, and are subject to ongoing assessment of clinical quality including required reporting, as well as access to an ongoing source of primary care. The right to receive a second opinion on a medical procedure and have the Contractor pay for the second opinion consultation visit. The right to choose a plan and provider at any time, including a plan outside of the Demonstration, and have that choice be effective the first calendar day of the following month. The right to have a voice in the governance and operation of the integrated system, provider or health plan, as detailed in this three‑way Contract. The right to be fur...
Enrollee Rights. 1. To permit each Enrollee to choose his or her network provider to the extent possible and appropriate, as set forth in COMAR 10.67.05.05 (Appendix Q).
Enrollee Rights. The MCO shall have written policies regarding the rights of Enrollees and shall comply with any applicable Federal and state laws that pertain to Enrollee rights. When providing services to Enrollees, the MCO must ensure that its staff and Network Providers consider the Enrollee's rights to the following: Receive information pursuant to 42 CFR § 438.10. Be treated with respect and with due consideration for the Enrollee's dignity and privacy. Receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand. Participate in decisions regarding his or her health care, including the right to refuse treatment. Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation, as specified in other Federal regulations on the use of restraints and seclusion.
Enrollee Rights. The MCO shall have written policies regarding the rights of Enrollees and shall comply with any applicable Federal and State laws that pertain to Enrollee rights.
Enrollee Rights. The MCO shall have written policies regarding the rights of Enrollees and shall comply with any applicable Federal and State laws that pertain to Enrollee rights. When providing services to Enrollees, the MCO must ensure that its staff and Network Providers consider the Enrollee’s rights to the following: Receive information pursuant to 42 CFR § 438.10. Be treated with respect and with due consideration for the Enrollee's dignity and privacy. Receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand. Participate in decisions regarding his or her health care, including the right to refuse treatment. Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation, as specified in other Federal regulations on the use of restraints and seclusion. Be free from any form of aversion or deprivation procedures as described in Minnesota Rules, parts 9525.2700 through 9525.2810. Request and receive a copy of his or her medical records pursuant to 45 CFR §§ 160 and 164, subparts A and E, and request to amend or correct the record as specified in 45 CFR §§ 164.524 and 164.526. Be provided with services under this Contract in accordance with 42 CFR §§ 438.206 through 438.210. The freedom to exercise his or her rights and that exercising these rights will not adversely affect the way the Enrollee is treated.
Enrollee Rights. The Parties’ subcontract shall require that the CP have written policies ensuring Enrollees are guaranteed the rights described in Section 5.1.L of the Contract, and ensure that its employees, Affiliated Partners, and subcontractors observe and protect these rights. The CP shall be required to inform Enrollees of these rights upon Enrollees’ agreement to participate in the CP program.
Enrollee Rights a) The Contractor shall,in compliance with the requirements of 42 CFR § 438.6(i)(l) and 42 CFR Part 489 Subpart 1, maintain written policies and procedures regarding advance directives and inform each Enrollee in writing at the time of enrollment of an individual's rights under State law to formulate advance directives and of the Contractor's policies regarding the implementation of such rights. The Contractor shall include in such written notice to the Enrollee materials relating to advance directives and health care proxies as specified in 10 NYCRR Part 98 and § 700.5. The written information must reflect changes in State law as soon as possible, but no later than ninety (90) days after the effective date of the change.
Enrollee Rights. 3.7.1 The Broker shall have written policies regarding the Enrollee rights specified in this section.
Enrollee Rights. B.1 The ICO must have written policies regarding the Enrollee rights specified in this appendix, as well as written policies specifying how information about these rights will be disseminated to Enrollees. Enrollees must be notified of these rights and protections at least annually, and in a manner that takes in to consideration cultural considerations, Functional Status and language needs. Enrollee rights include, but are not limited to, those rights and protections provided by 42 C.F.R. § 438.100, 42 C.F.R. §422 Subpart C, and the Michigan Memorandum of Understanding (MOU).
