MOU Monthly Reports. To the extent Contractor does not execute an MOU within four (4) months after the effective date of this Contract, Contractor shall submit documentation substantiating its good faith efforts to enter into an MOU. Until such time as an MOU is executed, Contractor shall submit monthly reports to CDHS documenting its continuing good faith efforts to execute an MOU and the justifications why such an MOU has not been executed.
1. 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, and providers.
1) Contractor’s written policies regarding Member rights shall include the following:
a) to be treated with respect, giving due consideration to the Member’s right to privacy and the need to maintain confidentiality of the Member’s medical information.
b) to be provided with information about the organization and its services.
c) to be able to choose a Primary Care Provider within the Contractor’s network.
d) to participate in decision making regarding their own health care, including the right to refuse treatment.
e) to voice grievances, either verbally or in writing, about the organization or the care received.
f) to receive oral interpretation services for their language.
g) to formulate advance directives.
h) to have access to family planning services, Federally Qualified Health Centers, Indian Health Service Facilities, sexually transmitted disease services and Emergency Services outside the Contractor’s network pursuant to the federal law.
i) to request a State Medi-Cal fair hearing, including information on the circumstances under which an expedited fair hearing is possible.
j) to have access to, and where legally appropriate, receive copies of, amend or correct their Medical Record.
k) to disenroll upon request.
l) to access minor consent services.
m) to receive written Member informing materials in alternative formats, including Braille, large size print, and audio format upon request.
n) to be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation.
o) to receive information on available treatment options and alternatives, presented in a manner appropriate to the Member’s condition and ability to understand. p) freedom to exercise these rights without adversely affecting how they are treated by the Contractor, providers,...
MOU Monthly Reports. To the extent Contractor does not execute an MOU within four (4) months after the effective date of this Contract, Contractor shall submit documentation substantiating its good faith efforts to enter into an MOU. Until such time as an MOU is executed, Contractor shall submit monthly reports to DHCS documenting its continuing good faith efforts to execute an MOU and the justifications why such an MOU has not been executed.
