Gag Clauses Clause Samples
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Gag Clauses. Nothing in the Agreement or Attachment shall be construed to be a gag clause that prohibits Participating Provider from disclosure of Medically Necessary or appropriate health care information or alternative therapies to Members, other health care professionals or DPW. Likewise, Participating Provider shall prohibit the use of gag clauses in its employee contracts that limit the disclosure of information pertaining to the HealthChoices Program.
Gag Clauses. Nothing in the Agreement or Attachment shall be construed to be a gag clause that prohibits Participating Provider from disclosure of Medically Necessary or appropriate health care information or alternative therapies to Members, other health care professionals or DPW. Likewise, Participating Provider shall prohibit the use of gag clauses in its employee contracts that limit the disclosure of information pertaining to the HealthChoices Program. Avesis will not sanction, terminate, fail to renew or exclude Participating Provider from the network for discussing with Avesis the process that Avesis uses or proposes to use to deny payment for Covered Services or for discussing an adverse determination with Avesis including the State Dental Director or Chief Dental Officer; advocating for medically necessary and appropriate care with or on behalf of Member, including information regarding the nature of treatment, risks of treatment, alternative treatments or the availability of alternative therapies, consultations or tests; filing a grievance on behalf of and with the written consent of a Member or helping a Member file a grievance; or taking another action specifically permitted by Sections 2113, 2121 and 2171 of the DOH regulations, Department of Public Welfare or Act 68.
Gag Clauses. No provision in the Physician Agreement or this Amendment will be interpreted to limit the free, open and unrestricted exchange of information between Participating Physician and a member regarding the nature of the member’s medical conditions or treatment and provider options and the relative risks and benefits and costs to the member of such options, whether or not such treatment is covered under member’s benefit agreement or plan document, and any right to appeal any adverse decision by Highmark regarding coverage of treatment that has been recommended or rendered. ▇▇▇▇▇▇▇▇ agrees not to penalize or sanction Participating Physician in any way for engaging in any free, open and unrestricted communication with a member with respect to the foregoing subjects or for advocating for any service on behalf of a member.