Common use of Member Participation Clause in Contracts

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. 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 authorized representative and any other persons identified by the member will be included in the care management processes of assessment, member outcomes identification, member- 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 members’ families or legal decision makers authorized representatives in order to make informed long-term care and health care service decisions.