Member Rights. The Subscriber Agreement (SA) shall include a complete statement that a Member shall have the right to: Available and accessible services when medically necessary, 24 hours per day, 7 days per week for Urgent or Emergency Health Care Services, and for other Health Care Services as defined by the Agreement; Be treated with courtesy and consideration, and with respect for the Covered Person's dignity and need for privacy; Be provided with information concerning our policies and procedures regarding products, services, Providers, Appeals procedures and other information about Presbyterian Health Plan; To choose a Primary Care Practitioner within the limits of the Covered Benefits, plan network, and as provided by this rule, including the right to refuse care of specific Health Care Professionals; Receive from the Covered Person's Physician(s) or Provider, in terms that the Covered Person understands, an explanation of his or her complete medical condition, recommended treatment, risk(s) of the treatment, expected results and reasonable medical alternatives, irrespective of our position on treatment options; if the Covered Person is not capable of understanding the information, the explanation shall be provided to his or her next of kin, guardian, agent or surrogate, if available, and documented in the Covered Person's medical record; All the rights afforded by law, rule, or regulation as a patient in a licensed Health Care Facility, including the right to refuse medication and treatment after possible consequences of this decision have been explained in language the Covered Person understands; Prompt notification, as required in this rule, of termination or changes in benefits, services or Practitioner/Provider network; File a Complaint or Appeal with us or the Superintendent and to receive an answer to those Complaints in accordance with existing law; Privacy of medical and financial records maintained by us and our Health Care Providers, in accordance with existing law; Know upon request of any financial arrangements or provisions between Presbyterian Health Plan and our Practitioners/Providers which may restrict referral or treatment options or limit the services offered to Covered Persons; Adequate access to qualified Health Professionals for the treatment of Covered Benefits near where the Covered Person lives or works within our Service Area; To the extent available and applicable to us, to affordable health care, with limits on ...
Member Rights. The Contractor shall guarantee the following rights protected under 42 CFR 438.100 to its members: The right to receive information in accordance with 42 CFR 438.10, which relates to informational materials; The right to be treated with respect and with due consideration for his or her dignity and privacy; The right to receive information on available treatment options and alternatives, presented in a manner appropriate to the member's condition and ability to understand; The right to participate in decisions regarding his or her health care, including the right to refuse treatment; The right to 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; The right to request and receive a copy of his or her medical records, and request that they be amended or corrected, as specified in the HIPAA Privacy Rule set forth in 45 CFR parts 160 and 164, subparts A and E, which address security and privacy of individually identifiable health information; and The right to be furnished health care services in accordance with 42 CFR 438.206 through 438.210, which relate to service availability, assurances of adequate capacity and services, coordination and continuity of care, and coverage and authorization of services. The Contractor shall also comply with other applicable state and federal laws regarding member rights, as set forth in 42 CFR 438.100(d). The Contractor shall have written policies in place regarding the protected member rights listed above. The Contractor shall have a plan in place to ensure that its staff and network providers take member rights into account when furnishing services to the Contractor’s members. Members shall be free to exercise protected member rights, and the Contractor shall not discriminate against a member that chooses to exercise his or her rights.
Member Rights the rights outlined in applicant information materials and the Member Handbook/Evidence of Coverage as approved by DHS consistent with Wis. Admin. Code § DHS 10.51.
Member Rights. The MCP shall comply with 42 CFR 438.100, OAC rule 5160-26-08.3, and any applicable federal and state laws that pertain to member rights and ensure its staff adhere to such laws when furnishing services to its members. The MCP shall include a requirement in its contracts with affiliated providers that such providers also adhere to applicable Federal and State laws when providing services to members.
Member Rights. The MCOP shall comply with 42 CFR 438.100, OAC rule 5160-26-08.3, and any applicable federal and state laws that pertain to member rights and ensure its staff adhere to such laws when furnishing services to its members. The MCOP shall include a requirement in its contracts with affiliated providers that such providers also adhere to applicable Federal and State laws when providing services to members.
Member Rights. Per 42 CFR 438.100, the Contractor shall guarantee the following rights to members : ▪ The right to receive information on the managed care program and plan into which he/she is enrolled per 42 CFR 438.100(a)(1) and 42 CFR 438.100(b)(2)(i). ▪ The right to receive information in accordance with 42 CFR 438.10; ▪ The right to be treated with respect and with due consideration for his or her dignity and privacy in accordance with 42 CFR 438.100(a)(1) and 42 CFR 438.100(b)(2)(ii); ▪ The right to receive information on available treatment options and alternatives, presented in a manner appropriate to the member's condition and ability to understand in accordance with 42 CFR 438.3(j)(2), 42 CFR 438.100(a)(1) and 42 CFR 438.100(b)(2)(iii); ▪ The right to participate in decisions regarding his or her health care, including the right to refuse treatment in accordance with 42 CFR 438.100(a)(1); 42 CFR 438.100(b)(2)(iv); ▪ The right to 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 in accordance with 42 CFR 438.100(a)(1); 42 CFR 438.100(b)(2)(v); ▪ The right to request and receive a copy of his or her medical records, and request that they be amended or corrected, as specified in 42 CFR 438.100(a)(1), 42 CFR 438.100(b)(2)(vi) and the HIPAA Privacy Rule set forth in 45 CFR parts 160 and 164, subparts A and E, which address security and privacy of individually identifiable health information; and ▪ The right to be furnished health care services in accordance with 42 CFR 438.206 through 438.210, which relate to service availability, assurances of adequate capacity and services, coordination and continuity of care, and coverage and authorization of services . The Contractor shall also comply with other applicable state and federal laws regarding member rights, as set forth in 42 CFR 438.100(d) and 42 CFR 438.100(a)(2). The Contractor must have written policies in place regarding the protected member rights listed above. The Contractor shall have a plan in place to ensure that its staff and network providers take member rights into account when furnishing services to the Contractor’s members. Members shall be free to exercise protected member rights, and the Contractor must not discriminate against or treat adversely, a member that chooses to exercise his or her rights in accordance with 42 CFR 438.100(a)(1) and 42 CFR 438.1...
Member Rights. (A) This article shall apply to any investigation conducted by someone other than the member’s immediate supervisor or as directed by the Chief of Police. The article shall not govern matters of supervisory-initiated discipline below the level of a written reprimand, counseling, or inquiry, but the supervisor shall follow the Division of Police prescribed procedures and applicable laws. Whenever an investigation may lead to criminal charges or formal disciplinary action against a bargaining unit member in the form of a written reprimand, suspension or dismissal, that particular bargaining unit member shall be allowed reasonable time to contact the Lodge Representative and/or attorney prior to any interview, and to have the Lodge Representative present during all interview sessions. A bargaining unit member suspected of having committed a criminal offense shall be assured the same rights as any other citizen regarding police inquiry.
(B) At least twenty-four (24) hours prior to questioning in an investigation that may lead to formal disciplinary action as described in Section 1(A) of this article, the bargaining unit member under investigation shall be provided with written notice by the Chief of Police or designee of the nature of the investigation and the time of their interview. After the exhaustion of the 80 working hours set forth in Article 11.1, the Chief of Police may temporarily reassign a bargaining unit member who is the subject of an investigation for a period of time not to exceed an additional sixty (60) days.
(C) When a member is to be interviewed as a witness in an investigation of any other member, the member to be interviewed shall be fairly apprised prior to the beginning of questioning of the circumstances giving rise to the interview.
(1) If during the interview of the witness, the investigator has reason to believe the witness has become a focus of the investigation or has provided information which would cause the witness to become a focus of another investigation for which it would be reasonable for the investigator or the witness to believe that either formal discipline or criminal charges may result, the investigator shall immediately notify the member of such belief and inform the member of the member's rights under this Article.
(2) If, during the interview, the witness has reason to believe that he/she has become the focus of the investigation or has provided information which would cause the member to become the focus of anothe...
Member Rights. Per 42 CFR 438.100, the Contractor must guarantee the following rights to members: The right to receive information in accordance with 42 CFR 438.10; The right to be treated with respect and with due consideration for his or her dignity and privacy; The right to receive information on available treatment options and alternatives, presented in a manner appropriate to the member's condition and ability to understand; The right to participate in decisions regarding his or her health care, including the right to refuse treatment; The right to 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; The right to request and receive a copy of his or her medical records, and request that they be amended or corrected, as specified in 45 CFR 164.524 and 164.526; and The right to be furnished health care services in accordance with 42 CFR 438.206 through 438.210. The Contractor must also comply with other applicable state and federal laws regarding member rights, as set forth in 42 CFR 438.100(d). The Contractor must have written policies in place regarding the protected member rights listed above. The Contractor must have a plan in place to ensure that its staff and network providers take member rights into account when furnishing services to the Contractor’s members. Members must be free to exercise protected member rights, and the Contractor must not discriminate against a member that chooses to exercise his or her rights.
Member Rights. No Member of the Bargaining Unit shall be harassed or discriminated against by the Board of Education, Superintendent or any other administrative officer of the District or by any employee organization, its officers or any member thereof because of his/her exercise or non-exercise of rights under this Contract. It shall be prohibited for an employee organization, employee or employer to impede, restrain or coerce an employer or employees in the exercise of the rights guaranteed by state law or this Contract. Members shall be provided electronic access at every site to a current state law book as compiled by the State Board of Education, the negotiated Contract, Board policies, and administrative directives which affect their employment in the Xxxxx School District. (2001, 2012)
Member Rights. The CONTRACTOR shall:
3.16.1. Have written Policies guaranteeing each Member’s rights.
3.16.2. Make available to Members both oral and written information about the nature and extent of their rights and responsibilities as Members of the CONTRACTOR.
3.16.3. Ensure that staff and affiliated Providers observe and protect the Member’s right when furnishing services.
3.16.4. Ensure the following Member Rights:
3.16.4.1. To be treated with respect and with due consideration for dignity and privacy;
3.16.4.2. To receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee’s condition and ability to understand and participate in decisions regarding healthcare, including the right to refuse treatment;
3.16.4.3. To be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation, as specified in the federal regulations on the use of restraints and seclusion; and
3.16.4.4. To be able to request and receive a copy of the Member’s Health Records, and request that they be amended or corrected as specified in 45 CFR §164.
3.16.4.5. To freely exercise his or her rights, and that the exercise of those rights does not adversely affect the way the CONTRACTOR and its Providers, or the Department, treat the Medicaid Managed Care Member.
3.16.4.5.1. Information regarding the Medicaid Member’s right to obtain available and accessible health care services covered under the contract.
