Common use of Enrollee Records Clause in Contracts

Enrollee Records. A. The contractor is responsible for a complete long-term care record for each enrollee. B. The contractor must use procedures that promote the development of a centralized, comprehensive long-term care record for enrollees. The contractor must ensure, with written consent of the enrollee or their representative, all providers involved in the enrollee's care have access to the enrollee's record for the purpose of providing care. C. The contractor must maintain an enrollee records system, which is consistent with professional standards and permits the prompt retrieval of information. Each record must include timely and accurately documented information and must be readily available to all appropriate and authorized practitioners involved in the integration and coordination of care. D. The contractor will ensure all subcontracted long term care providers-properly document the care provided to enrollees. E. The contractor will ensure enrollee record information is accessible only to authorized persons in accordance with written consent or an executed authorization granted by the enrollee or the enrollee's representative and with all applicable federal and state laws, rules and regulations. F. The contractor must disclose enrollee records, including enrollee and caregiver identifying information, to the department and Agency. It is the department and Agency's obligation to oversee the performance or to conduct assessment, investigation, or evaluation of this contract. Not withstanding provisions to the contrary, release of material to the department and Agency will not be construed as public disclosure of confidential information. G. All records must contain documentation that the member was provided written information concerning the member's rights regarding advanced directives, and whether or not the member has executed an advance directive. The contractor shall not, as a condition of treatment, require the member to execute or waive an advance directive in accordance with Section 765.110, F.S. The contractor must comply with the requirements of 42 CFR 422.128 for maintaining written policies and procedures for advance directives.

Enrollee Records. A. The contractor is responsible for a complete long-term care record for each enrollee. B. The contractor must use procedures that promote the development of a centralized, comprehensive medical and long-term care record for enrollees. The contractor must ensure, with written consent of the enrollee or their representative, all providers involved in the enrollee's ’s care have access to the enrollee's ’s record for the purpose of providing care. C. The contractor must maintain an enrollee records system, which is consistent with professional standards and permits the prompt retrieval of information. Each record must include timely and accurately documented information and must be readily available to all appropriate and authorized practitioners involved in the integration and coordination of care. D. The contractor will ensure all subcontracted long providers, including medical specialists and long-term care providers-, properly document the care provided to enrolleesenrollees including, diagnoses, medications, and treatment plans. E. The contractor will ensure enrollee record information is accessible only to authorized persons in accordance with written consent or an executed authorization granted by the enrollee or the enrollee's ’s representative and with all applicable federal and state laws, rules and regulations. F. The contractor must disclose enrollee records, including enrollee and caregiver identifying information, to the department and Agency. It is the department and Agency's ’s obligation to oversee the performance or to conduct assessment, investigation, or evaluation of this contract. Not withstanding provisions to the contrary, release of material to the department and Agency will not be construed as public disclosure of confidential information. G. All records must contain documentation that the member was provided written information concerning the member's ’s rights regarding advanced directives, and whether or not the member has executed an advance directive. The contractor shall not, as a condition of treatment, require the member to execute or waive an advance directive in accordance with Section 765.110, F.S. The contractor must comply with the requirements of 42 CFR 422.128 for maintaining written policies and procedures for advance directives.