Common use of Member Rights Clause in Contracts

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 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 Contractor shall guarantee the following rights protected under 42 CFR 438.100 to its members:  EXHIBIT 1.E SCOPE OF WORK – HOOSIER HEALTHWISE ▪ 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 disc riminate against a member that chooses to exercise his or her rights.

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 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 Contractor shall guarantee the following rights protected under 42 CFR 438.100 to its members:  EXHIBIT 1.E SCOPE OF WORK – HOOSIER HEALTHWISE ▪ 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.