Common use of Enrollee's Rights Clause in Contracts

Enrollee's Rights. a) The Contractor shall, in compliance with the requirements of 42 CFR § 438.6(i)(l) and 42 CFR Part 489 Subpart I, maintain written policies and procedures regarding advance directives and inform each Enrollee in writing at the time of enrollment of an individual's rights under State law to formulate advance directives and of the Contractor's policies regarding the implementation of such rights. The Contractor shall include in such written notice to the Enrollee materials relating to advance directives and health care proxies as specified in 10 NYCRR Part 98 and § 700.5. The written information must reflect changes in State law as soon as possible, but no later than ninety (90) days after the effective date of the change. b) The Contractor shall have policies and procedures that protect the Enrollee's right to: i) receive information about the Contractor and managed care; ii) be treated with respect and due consideration for his or her dignity and privacy; iii) receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand; iv) participate in decisions regarding his or her health care, including the right to refuse treatment; v) be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation, as specified in Federal regulations on the use of restraints and seclusion; and vi) If the privacy rule, as set forth in 45 CFR Parts 160 and 164, Subparts A and E, applies, 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.

Enrollee's Rights. a) The Contractor shall, in compliance with the requirements of 42 CFR § 438.6(i)(lSection 438.6(i)(1) and 42 CFR Part 489 Subpart I, maintain written policies and procedures regarding advance directives and inform each Enrollee in writing at the time of enrollment of an individual's rights under State law to formulate advance directives and of the Contractor's policies regarding the implementation of such rights. The Contractor shall include in such written notice to the Enrollee materials relating to advance directives and health care proxies as specified in 10 NYCRR Part 98 and § Section 700.5. The written information must reflect changes in State law as soon as possible, but no later than ninety (90) days after the effective date of the change. b) The Contractor shall have policies and procedures that protect the Enrollee's right to: i) receive information about the Contractor and managed care; ii) be treated with respect and due consideration for his or her dignity and privacy; iii) receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's condition and ability to understand; iv) participate in decisions regarding his or her health care, including the right to refuse treatment; v) be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation, as specified in Federal regulations on the use of restraints and seclusion; and vi) If the privacy rule, as set forth in 45 CFR Parts 160 and 164, 164 Subparts A and E, applies, request and receive a copy of his or her medical records and request that they be amended or corrected, as specified in 45 CFR §§ Sections 164.524 and 164.526. c) The Contractor's policies and procedures must require that neither the Contractor nor its Participating Providers adversely regard an Enrollee who exercises his/her rights in 13.7(b) above.

Enrollee's Rights. a) The Contractor shall, in compliance with the requirements of 42 CFR § 438.6(i)(lCFR§ 438.6(i)(1) and 42 CFR Part 489 Subpart I, maintain written policies and procedures regarding advance directives and inform each Enrollee in writing at the time of enrollment of an individual's rights under State law to formulate advance directives and of the Contractor's policies regarding the implementation of such rights. The Contractor shall include in such written notice to the Enrollee materials relating to advance directives and health care proxies as specified in 10 NYCRR Part 98 Sections 98.14(f) and § 700.5. The written information must reflect changes in State law as soon as possible, but no later than ninety (90) 90 days after the effective date of the change. b) The Contractor shall have policies and procedures that protect the Enrollee's ’s right to: i) receive information about the Contractor and managed care; ii) be treated with respect and due consideration for his or her dignity and privacy; iii) receive information on available treatment options and alternatives, presented in a manner appropriate to the Enrollee's ’s condition and ability to understand; iv) participate in decisions regarding his or her health care, including the right to refuse treatment; v) be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation, as specified in Federal regulations on the use of restraints and seclusion; and vi) If the privacy rule, as set forth in 45 CFR Parts 160 and 164, Subparts A and E, applies, 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. c) The Contractor’s policies and procedures must require that it and its Participating Providers do not adversely regard an Enrollee who exercises their rights in 13.7(b) above.