Advance Directives. All MCPs must comply with the requirements specified in 42 CFR 422.128. At a minimum, the MCP must: a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Subpart I of part 489 (42 CFR 489.100—489.104). b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical care by or through the MCP to ensure that the MCP: i. Provides written ODM-approved information to all adult members concerning: a. The member’s rights under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives. b. The MCP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience; c. Any changes in state law regarding advance directives as soon as possible, but no later than ninety (90) days after the proposed effective date of the change; and d. The right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health. ii. Provides for education of staff concerning the MCP’s policies and procedures on advance directives; iii. Provides for community education regarding advance directives directly or in concert with other providers or entities; iv. Requires that the member’s medical record document whether or not the member has executed an advance directive; and v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 3 contracts
Sources: Provider Agreement, Provider Agreement, Provider Agreement
Advance Directives. All MCPs must MCOPs shall comply with the advance directives requirements specified in 42 CFR 422.128. At a minimum, the MCP mustMCOP shall:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Part 489 Subpart I of part 489 (42 CFR 489.100—489.104).I.
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical and/or behavioral health care by or through the MCP MCOP to ensure that the MCPMCOP:
i. Provides written ODM-approved information to all adult members concerning:
a. The member’s rights under state law to make decisions concerning his or her medical and/or behavioral health care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.;
b. The MCPMCOP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. Any changes in state law regarding advance directives as soon as possible, but no later than ninety (90) 90 calendar days after the proposed effective date of the change; and
d. The right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of staff concerning the MCPMCOP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the each member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement
Advance Directives. All MCPs must The MCP shall comply with the advance directives requirements specified in 42 CFR 422.128. At a minimum, the MCP mustshall:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Part 489 Subpart I of part 489 (42 CFR 489.100—489.104).
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical and/or behavioral health care by or through the MCP to ensure that the MCP:
i. Provides written ODM-approved information to all adult members concerning:
a. 1. The member’s rights under state law to make decisions concerning his or her medical and/or behavioral health care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.refuse
b. 2. The MCP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. 3. Any changes in state law regarding advance directives as soon as possible, but no later than ninety (90) 90 calendar days after the proposed effective date of the change; and
d. 4. The right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of staff concerning the MCP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 2 contracts
Sources: Provider Agreement, Provider Agreement
Advance Directives. All MCPs must comply with the requirements specified in 42 CFR 422.128. At a minimum, the MCP must:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Subpart I of part 489 (42 CFR 489.100—489.104)489.
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical care by or through the MCP to ensure that the MCP:
i. Provides written ODM-approved information to all adult members concerning:
a. The the member’s rights under state law to make decisions concerning his or her their medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives. (In meeting this requirement, MCPs must utilize form JFS 08095 entitled You Have the Right, or include the text from JFS 08095 in their ODJFS-approved member handbook).
b. The the MCP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. Any any changes in state law regarding advance directives as soon as possible, possible but no later than ninety (90ninety) 90 days after the proposed effective date of the change; and
d. The the right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of staff concerning the MCP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 2 contracts
Sources: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Provider Agreement (Wellcare Health Plans, Inc.)
Advance Directives. All MCPs MCOPs must comply with the advance directives requirements specified in 42 CFR 422.128. At a minimum, the MCP MCOP must:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Subpart I of part 489 (42 CFR 489.100—489.104).
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical care by or through the MCP MCOP to ensure that the MCPMCOP:
i. Provides written ODM-approved information to all adult members concerning:
a. 1. The member’s rights under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.;
b. 2. The MCPMCOP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. 3. Any changes in state law regarding advance directives as soon as possible, but no later than ninety (90) 90 days after the proposed effective date of the change; and
d. 4. The right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of staff concerning the MCPMCOP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the each member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 1 contract
Sources: Provider Agreement
Advance Directives. All MCPs must comply with the advance directives requirements specified in 42 CFR 422.128. At a minimum, the MCP must:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Subpart I of part 489 (42 CFR 489.100—489.104).
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical care by or through the MCP to ensure that the MCP:
i. Provides written ODM-approved information to all adult members concerning:
a. 1. The member’s rights under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.
b. 2. The MCP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. 3. Any changes in state law regarding advance directives as soon as possible, but no later than ninety (90) 90 days after the proposed effective date of the change; and
d. 4. The right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of staff concerning the MCP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 1 contract
Sources: Provider Agreement
Advance Directives. All MCPs MCOPs must comply with the requirements specified in 42 CFR 422.128. At a minimum, the MCP MCOP must:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Subpart I of part 489 (42 CFR 489.100—489.104).
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical care by or through the MCP MCOP to ensure that the MCPMCOP:
i. Provides written ODM-approved information to all adult members concerning:
a. The member’s rights under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.;
b. The MCPMCOP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. Any changes in state law regarding advance directives as soon as possible, but no later than ninety (90) days after the proposed effective date of the change; and
d. The right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of its staff concerning the MCPMCOP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the each member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 1 contract
Sources: Provider Agreement
Advance Directives. All MCPs must comply with the requirements specified in 42 CFR 422.128. At a minimum, the MCP must:
a. Maintain written policies and procedures that meet the requirements for advance directives, as set forth in 42 CFR Subpart I of part 489 (42 CFR 489.100—489.104)489.
b. Maintain written policies and procedures concerning advance directives with respect to all adult individuals receiving medical care by or through the MCP to ensure that the MCP:
i. Provides written ODM-approved information to all adult members concerning:
a. The the member’s rights under state law to make decisions concerning his or her their medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.
b. The the MCP’s policies concerning the implementation of those rights including a clear and precise statement of any limitation regarding the implementation of advance directives as a matter of conscience;
c. Any any changes in state law regarding advance directives as soon as possible, possible but no later than ninety (90) 90 days after the proposed effective date of the change; and
d. The the right to file complaints concerning noncompliance with the advance directive requirements with the Ohio Department of Health.
ii. Provides for education of staff concerning the MCP’s policies and procedures on advance directives;
iii. Provides for community education regarding advance directives directly or in concert with other providers or entities;
iv. Requires that the member’s medical record document whether or not the member has executed an advance directive; and
v. Does not condition the provision of care, or otherwise discriminate against a member, based on whether the member has executed an advance directive.
Appears in 1 contract
Sources: Provider Agreement