Members’ Rights and Responsibilities. The Contractor shall furnish Medicaid MHN program members with both verbal and written information about the nature and extent of their rights and responsibilities as a member of the Contractor's plan. The rights afforded to current members are detailed in MHN Policy and Procedure Guide, Members’ Xxxx of Rights. The written information shall be written at a reading comprehension level no higher than fourth (4th) grade, “or as determined appropriate by SCDHHS.” The minimum information shall include: the member's rights to receive written information about the Contractor's managed care plan including information on the structure and operation of the Plan; the network providers/subcontractors providing the member's health care, including information on any providers who are non-English speaking; information about the amount, duration, and scope of benefits available and how to obtain these benefits; confidentially of patient information; the right to file grievances or complaints about the Contractor and/or care provided; any restrictions on the member’s freedom of choice among network providers; the extent to which, and how, after-hours and emergency coverage are provided; and any other information that affects the member's enrollment into the Contractor's plan. The Contractor shall notify the Medicaid MHN program members at least annually following initial enrollment of their right to request and receive this information. The Medicaid MHN program members’ responsibilities shall include but are not limited to: informing the Contractor of the loss or theft of their ID card; presenting their ID card when using health care services; to be familiar with the plan’s procedures to the best of the member's abilities; and/or to call or contact the Contractor to obtain information and have questions clarified; to provide participating network providers with accurate and complete medical information; follow the prescribed treatment of care recommended by the provider or let the provider know the reasons the treatment cannot be followed, as soon as possible; and make every effort to keep any agreed upon appointments, and follow-up appointments and to access preventive care services.
Members’ Rights and Responsibilities. Blue Shield does not delegate or sub-delegate member rights and responsibilities. For additional details and a full listing of these rights and responsibilities, please refer to the Provider Manual.
Members’ Rights and Responsibilities. 5.1. To pay to the Provider the Membership Fee payable without any deduction in advance on for the period from the Agreement Fee Commencement Date to the end of Twelve months following such date to be made on the date of this Agreement together with such VAT as may be payable on the Membership Fee
Members’ Rights and Responsibilities. Health Plan does not delegate or sub-delegate member rights and responsibilities. For additional details and a full listing of these rights and responsibilities, please refer to the Provider Manual.
Members’ Rights and Responsibilities. The MCO demonstrates a commitment to treating members in a manner that acknowledges their rights and responsibilities.
Members’ Rights and Responsibilities. The Contractor shall furnish Medicaid MCO Members with both verbal and written information about the nature and extent of their rights and responsibilities as Medicaid MCO Members of the Contractor's health plan. The rights afforded to current Medicaid MCO Members are detailed in the MCO Policy and Procedure Guide, Members’ Xxxx of Rights. The written information shall be prepared on a reading comprehension level no higher than fourth (4th) grade, or as determined appropriate by the Department. The minimum information shall include: the Medicaid MCO Member's right to receive written information about the Contractor's health plan, including information on the structure and operation of the health plan; the network Providers/Subcontractors providing the Medicaid MCO Member's health care; information about how to obtain benefits; confidentiality of patient information; the right to file grievances or complaints about the Contractor and/or care provided; information regarding advance directives as described in 42 CFR §417.436 (2009, as amended) and 42 CFR 489, Subpart I (2009, as amended) and any information that affects the Medicaid MCO Member's enrollment into the Contractor's health plan. Information regarding advance directives shall include a description of the applicable State law (Chapter 66, Section 44) and must reflect any changes in State law as soon as possible, but no later than ninety (90) calendar days after the effective date of the change. The Contractor shall provide the Medicaid MCO Member written evidence of coverage. The Medicaid MCO Members’ responsibilities shall include, but are not limited to: informing the Contractor of the loss or theft of their ID cards; presenting their ID cards when using health care services; being familiar with the Contractor’s health plan’s procedures to the best of their abilities; calling or contacting the Contractor to obtain information and have questions clarified; providing participating network Providers with accurate and complete medical information; following the prescribed treatment of care recommended by the provider or letting the Provider know the reasons the treatment cannot be followed, as soon as possible; making every effort to keep any agreed upon appointments; and accessing preventive care services.
Members’ Rights and Responsibilities. 22.1.The Member must only use Connect Hub for its permitted use, and only for the business stated in the Agreement or subsequently agreed with the Provider.
Members’ Rights and Responsibilities. 25. The Member must only use the Co-working Space and the Address for office purposes, and only for the business stated in the Agreement or subsequently agreed with the Provider
Members’ Rights and Responsibilities. A. Member Rights and Responsibilities Contractor shall develop, implement and maintain written policies that address the Member's rights and responsibilities and shall communicate these to its Members, providers, and, upon request, potential members.
Members’ Rights and Responsibilities. As a Covered Person, you have certain rights and responsibilities when receiving Health Care Services. As your health benefit plan provider, we are committed to making sure your rights are protected and that you are treated with dignity and respect when receiving Health Care Services. You also have a responsibility to take an active role in your healthcare needs. As a Covered Person, you have access to our Participating Providers and to information you need to make the best decisions for your health and welfare.
