Member Participation. 1. The MCO is required to ensure that each member has a meaningful opportunity to participate in the initial development of, and updating of, his/her member- centered plan (MCP). The MCO is required to encourage members to take an active role in decision-making regarding the long-term care and health care services they need to live as independently as possible. The MCO is expected to ensure that the member, the member’s legal decision maker and any other persons identified by the member will be included in the care management processes of assessment, member outcomes identification, member- centered plan development, and reassessment. This process must reflect cultural considerations of the individual and must be conducted by providing information in plain language and in a manner that is accessible to individuals with disabilities through the provision of auxiliary aids and services at no cost to the individual and for persons who are limited English proficient through the provision of language services at no cost to the member. The MCO shall provide information, education and other reasonable support as requested and needed by members, other persons identified by the member or legal decision makers in order to make informed long-term care and health care service decisions.
Member Participation. The MCO is required to ensure that each member has a meaningful opportunity to participate in the initial development of, and updating of, the member’s member- centered plan (MCP). The MCO is required to encourage members to take an active role in decision-making regarding the long-term care and health care services they need to live as independently as possible. The MCO is expected to ensure that the member, the member’s legal decision maker and any other persons identified by the member will be included in the care management processes of assessment, member outcomes identification, member- centered plan development, and reassessment. This process must reflect cultural and other identity considerations of the individual and must be conducted by providing information in plain language and in a manner that is accessible to individuals with disabilities through the provision of auxiliary aids and services as needed, at no cost to the individual and for persons who are limited English proficient through the provision of language services at no cost to the member. If the member’s enrollment form indicates the member is an American Indian/Alaskan Native, the MCO must ask the member if the member would like to invite a representative from the member’s tribe to participate in the care management process. The MCO shall provide information, education and other reasonable support as requested and needed by members, other persons identified by the member or legal decision makers in order to make informed long-term care and health care service decisions. Members shall receive clear explanations of: The member’s health conditions and functional limitations; Available treatment options, supports and/or alternative courses of care; The member’s role as part of the interdisciplinary care team; The full range of residential options, including in-home care, residential care and nursing home care when applicable; The benefits, drawbacks and likelihood of success of each option; Risks involved in specific member preferences; The possible consequences of refusal to follow the recommended course of care; and The member’s available choices regarding the services and supports he/she receives and from whom. The MCO shall inform members of specific conditions that require follow-up, and if appropriate, provide training and education in self-care. If there are factors that hinder full participation with recommended treatments or interventions, then these factors will be identified a...
Member Participation. No otherwise qualified person may be excluded from participation in, be denied the benefits of, or otherwise be subject to discrimination in any manner on the basis of race, color, national origin, sexual orientation, religion, sex, disability or age. This policy covers eligibility for and access to service delivery, and treatment in all programs and activities. All employees of the Provider are expected to support goals and programmatic activities relating to nondiscrimination in service delivery.
Member Participation. It is Amerinet’s intent that all Participating Facilities be eligible to purchase Products in accordance with the prices and terms and conditions set forth in the GPA. To the extent that Supplier desires to include any class of Participating Facility, Supplier must note such inclusion below. Supplier acknowledges that Amerinet may pursue alternative agreements with other suppliers to provide the appropriate benefits to all Participating Facilities across the continuum of care. Please xxxx classes of trade which Supplier desires to include for access to the prices and terms and conditions set forth in this GPA and attach hereto a description of Supplier’s current performance capabilities (and differentiated marketing, sales and distribution, if applicable) relative to each class of trade. x Hospital x Surgery Center x Long Term/Extended Care x Clinic x Physician Practice o Home Health Care x Staff Model HMO o Laboratory x Integrated Delivery Network x Education (K-12) x Education (College/University) o Human Services Agency ____ Retail Pharmacy x Emergency Medical Services o Other (Non-Traditional – Choose From List Below) o Cities and Municipalities o Construction and Contracting o Fire and Rescue Districts o Fitness Centers o Hospitality o Manufacturing o Professional Services o Veterinarians o Other ____________________________________________________________________ o All of the above Describe Supplier’s current performance capabilities (and differentiated marketing, sales and distribution, if applicable) relative to each class of trade. Because CODESMARTTM is an online platform it is extremely scalable and can be delivered to millions of users simultaneously. The learning platform is backed by Florida International University, the largest State school in Florida and a major online infrastructure. The outsourced coding is delivered by over 400 of the countrty’s leading coders on a remote electronic basis.This is also a very scalable delivery model and all work can be done remotely. Amerinet Choice, L.L.C. 31 License and Supply Agreement Revised: 7/18/12 Supplier Initials Amerinet Initials
Member Participation. 1. The MCO is required to ensure that each member has a meaningful opportunity to participate in the initial development of, and updating of, his/her member- centered plan (MCP). The MCO is required to encourage members to take an active role in decision-making regarding the long-term care and health care services they need to live as independently as possible. The MCO is expected to ensure that the member, the member’s authorized representative and any other persons identified by the member will be included in the care management processes of assessment, member outcomes identification, member-centered plan development, and reassessment. The MCO shall provide information, education and other reasonable support as requested and needed by members, members’ families or authorized representatives in order to make informed long-term care and health care service decisions.
Member Participation. The PO is expected to ensure that the member, the member’s legal decision maker and any other persons identified by the member will be included in the care management processes of assessment, member outcomes identification, member-centered plan development, and reassessment. This process must reflect cultural considerations of the individual and must be conducted by providing information in plain language and in a manner that is accessible to individuals with disabilities through the provision of auxiliary aids and services at no cost to the individual and for persons who are limited English proficient through the provision of language services at no cost to the member. The PO shall provide information, education and other reasonable support as requested and needed by members, other persons identified by the member or legal decision makers in order to make informed long-term care and health care service decisions. If the member’s enrollment form indicates the member is an American Indian/Alaskan Native, the PO must ask the member if he/she would like to invite a representative from his/her tribe to participate in the care management process. Members shall receive clear explanations of: His/her health conditions and functional limitations; Available treatment options, supports and/or alternative courses of care; The member’s role as part of the interdisciplinary care team; The full range of residential options, including in-home care, residential care and nursing home care when applicable; The benefits, drawbacks and likelihood of success of each option; Risks involved in specific member preferences; The possible consequences of refusal to follow the recommended course of care; and His/her available choices regarding the services and supports he/she receives and from whom. The PO shall inform members of specific conditions that require follow-up, and if appropriate, provide training and education in self-care. If there are factors that hinder full participation with recommended treatments or interventions, then these factors will be identified and explained in the member-centered planning process. Interdisciplinary Team Composition The interdisciplinary team (IDT) is the vehicle for providing member-centered care management. The full IDT always includes the member and other people specified by the member, as well as IDT staff. Throughout this article the term “IDT staff” refers to the social worker, registered nurse and any other staff who are assigned or c...
Member Participation. The Member shall not, in its capacity as a Member, participate in the management or control of the business of, and shall not have any rights or Case 17-11375-BLS Doc 2624-1 Filed 04/10/18 Page 36 of 60 WEIL:\96414082\15\76903.0004 1 0
Member Participation. A Member [Assignee] shall have ONE (1) vote per Family Membership at any meeting where a vote of the Membership is taken. A Member may speak to the Board at any Board of Directors meeting, but may not vote.
Member Participation. The Member desires to enter into an agreement to join or participate in the workers’ compensation pool established by the Pool and to provide for the payment of workers’ compensation claims pursuant to A.R.S. Title 23, Chapter 6, and employer liability claims on a cooperative or contract basis with the Pool and with other special taxing districts that are members of the Pool.
Member Participation. The PO is expected to ensure that the member, the member’s legal decision maker and any other persons identified by the member will be included in the care management processes of assessment, member outcomes identification, member-centered plan development, and reassessment. This process must reflect cultural considerations of the individual and must be conducted by providing information in plain language and in a manner that is accessible to individuals with disabilities through the provision of auxiliary aids and services at no cost to the individual and for persons who are limited English proficient through the provision of language services as needed, at no cost to the member. The PO shall provide information, education and other reasonable support as requested and needed by members, other persons identified by the member or legal decision makers in order to make informed long-term care and health care service decisions. If the member’s enrollment form indicates the member is an American Indian/Alaskan Native, the PO must ask the member if the member would like to invite a representative from the member’s tribe to participate in the care management process.
