Common use of Enrollee Rights Clause in Contracts

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: (A) Receive information pursuant to 42 CFR § 438.10. (B) Be treated with respect and with due consideration for the Enrollee's dignity and privacy. (C) Receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand. (D) Participate in decisions regarding his or her health care, including the right to refuse treatment. (E) 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. (F) 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. (G) Be provided with health care services and, as applicable, Home and Community- Based Services, in accordance with 42 CFR § 438.206 through § 438.210, and to be provided with the information contained in the pamphlet, DHS-4134, “Know Your Rights About Services For Older Minnesotans.” (H) The freedom to exercise his or her rights and that the exercise of these rights will not adversely affect the way the Enrollee is treated. (I) Assistance, in identifying services needed to maintain the Enrollees who receive LTCCs in the most inclusive environment, pursuant to M.S. § 256B.0911, subd. 1a(1). (J) To be offered choices in types of Home and Community Based services wherever possible within a system of identified Providers.

Appears in 2 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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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: (A) Receive information pursuant to 42 CFR § 438.10. (B) Be treated with respect and with due consideration for the Enrollee's dignity and privacy. (C) Receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand. (D) Participate in decisions regarding his or her health care, including the right to refuse treatment. (E) 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. (F) Be free from any form of aversion or deprivation procedures as described in Minnesota Rules, parts 9525.2700 through 9525.2810. (G) 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. (GH) Be provided with health care services and, as applicable, Home and Community- Community-Based Services, in accordance with 42 CFR § § 438.206 through § 438.210, and to be provided with the information contained in the pamphlet, DHS-4134, “Know Your Rights About Services For Older Minnesotans. (HI) The freedom to exercise his or her rights and that the exercise of these rights will not adversely affect the way the Enrollee is treated. (IJ) Assistance, Assistance in identifying services needed to maintain the Enrollees who receive LTCCs Enrollee in the most inclusive environmentsetting, pursuant to M.S. Minnesota Statutes, § 256B.0911, subdSubd. 1a(11a(a)(4). (JK) To be Be offered choices a choice of institutional or Home and Community Based Waivered Services and choice among Providers, whenever possible. (L) Be offered choice in types of Home and Community Based services wherever possible within a system of identified Waivered Services and choices among Providers, whenever possible.

Appears in 1 contract

Samples: Contract for Minnesota Disability Health Options Project Services

Enrollee Rights. The MCO shall have written policies regarding the rights of Enrollees and shall comply with any applicable Federal and State state laws that pertain to Enrollee rights. When providing services to Enrollees, the MCO must ensure that its staff and affiliated Network Providers consider the Enrollee's right rights to the following: (A) Receive information pursuant to 42 CFR § 438.10. (B) Be treated with respect and with due consideration for the Enrollee's dignity and privacy. (C) Receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand. (D) Participate in decisions regarding his or her health care, including the right to refuse treatment. (E) 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. (F) 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. (G) Be provided with health care services under this Contract and, as applicable, Home and Community- Community-Based Services, in accordance with 42 CFR §§ 438.206 through § 438.210, and to be annually provided with the information contained in the pamphlet, DHS-4134, titled For Older Minnesotans -- Know Your Rights About Services For Older MinnesotansServices.” (H) The freedom to exercise his or her rights and that the exercise of exercising these rights will not adversely affect the way the Enrollee is treated. (I) Assistance, Assistance in identifying services needed to maintain the Enrollees who receive LTCCs in the most inclusive environment, pursuant to M.S. Minnesota Statutes, § 256B.0911, subd. 1a(11a, (1). (J) To be offered choices in types of Home and Community Based services services, including choices of settings, wherever possible within a system of identified Providers.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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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: (A) Receive information pursuant to 42 CFR § 438.10. (B) Be treated with respect and with due consideration for the Enrollee's dignity and privacy. (C) Receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand. (D) Participate in decisions regarding his or her health care, including the right to refuse treatment. (E) 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. (F) 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. (G) Be provided with health care services and, as applicable, Home and Community- Based Services, in accordance with 42 CFR § 438.206 through § 438.210, and to be provided with the information contained in the pamphlet, DHS-4134, “Know Your Rights About Services For Older Minnesotans.” (H) The freedom to exercise his or her rights and that the exercise of these rights will not adversely affect the way the Enrollee is treated. (I) Assistance, in identifying services needed to maintain the Enrollees who receive LTCCs in the most inclusive environment, pursuant to M.S. § 256B.0911, subd. 1a(1).1a(1).‌ (J) To be offered choices in types of Home and Community Based services wherever possible within a system of identified Providers.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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