Treatment Decisions Sample Clauses
Treatment Decisions. No Company or Payor is liable for, nor will it exercise control over, the manner or method by which a Contracted Provider provides items or services under this Agreement. Provider and Contracted Providers understand that determinations of Company or Payor that certain items or services are not Covered Services or have not been provided or billed in accordance with the requirements of this Agreement or the Provider Manual are administrative decisions only. Such decisions do not absolve the Contracted Provider of its responsibility to exercise independent judgment in treatment decisions relating to Covered Persons. Nothing in this Agreement (i) is intended to interfere with Contracted Provider’s relationship with Covered Persons, or (ii) prohibits or restricts a Contracted Provider from disclosing to any Covered Person any information that the Contracted Provider deems appropriate regarding health care quality, medical treatment decisions or alternatives.
Treatment Decisions. Neither Company, Payor, nor CCHN shall be liable for, or exercise control over, the manner or method by which a Contracted Provider provides items or services under this Agreement. Provider and Contracted Providers understand that determinations of Company, Payor, or CCHN that certain items or services are not Covered Services or have not been provided or billed in accordance with the requirements of this Agreement or the Provider Manual are administrative decisions only. Such decisions do not absolve the Contracted Provider of its responsibility to exercise independent judgment in treatment decisions relating to Covered Persons. Nothing in this Agreement (i) is intended to interfere with Contracted Provider’s relationship with Covered Persons, or (ii) prohibits or restricts a Contracted Provider from disclosing to any Covered Person any information that the Contracted Provider deems appropriate regarding health care quality, medical treatment decisions or alternatives.
Treatment Decisions. A. Procedure #3.6.19, Clinical Decision Making System and Procedure #3.2.4B, Clinical Review and Resolution Process, addresses how employees with concerns regarding treatment decisions and safety may resolve disputes.
Treatment Decisions. You have the right to:
Treatment Decisions. Provider shall be familiar with the package of benefits offered by DHH set forth in the State Contract and DHH’s requirement that providers make treatment decisions based upon individual medical needs. Provider must comply with DHH’s requirements governing Member rights and responsibilities as set forth in State Contract, Company Policies and applicable state and federal law.
Treatment Decisions. Subject to Client’s Plan Guidelines and the Prior Authorization process set forth in this Agreement, the decisions, in all circumstances, to prescribe
Treatment Decisions. MCNA shall not be liable for, nor will it exercise control over, the manner or method by which Provider provides or arranges for Covered Services. Provider may not refuse to provide medically necessary or Covered Services to Covered Persons specified in the State Contract for non-medical reasons, except those services allowable under federal law for religious and moral objections. However, the Provider is not required to accept or continue treatment of a patient with whom the Provider determines a professional relationship cannot be maintained/established. The Provider understands that MCNA’s determinations, if any, to deny payments for services which MCNA does not deem to constitute Covered Services or which were not provided in accordance with the requirements of this Agreement, the Attachments or the Provider Manual, are administrative decisions only. Such a denial does not absolve Provider of Provider’s responsibility to exercise independent judgment in Covered Person treatment decisions. Nothing in this Agreement is intended to interfere with Provider’s provider-patient relationship with Covered Person(s).
Treatment Decisions. Resident shall be provided with adequate and appropriate medical care, and will be fully informed by a physician of his or her total health status, including but not limited to, his or her medical condition including diagnosis, prognosis and treatment plan options. Resident will be fully informed and provided with all information concerning his or her rights, when permitted by applicable law and regulations, to consent to or refuse treatment, and/or to execute an advance directive such as a living will, Health Care Proxy, or Do Not Resuscitate (DNR) Order.
Treatment Decisions. Without limiting any other provision of this SCPA, Participant and its Authorized Users shall be solely responsible for all decisions and actions taken or not taken involving patient care, utilization management and quality management for their respective patients, clients, members or enrollees, regardless of Participant’s access to or use of the SHIN-NY Platforms, the State-Funded Participant Services, the Value-Added Services or other aspects of the SHIN-NY, or any data made available thereby to support or inform such decisions. Neither Participant nor any of its Authorized Users shall have any recourse against, and each shall waive any claims they had, have, or may have against any HIN for any loss, damage, claim or cost relating to or resulting from Participant’s own use or misuse of the SHIN-NY Platforms, the State- Funded Participant Services or the Value-Added Services, or the data made available thereby.
Treatment Decisions. MCO shall not be liable for, nor will it exercise control over, the manner or method by which Provider provides or arranges for Covered Services. Provider understands that MCO’s determinations, if any, to deny payments for services which MCO does not deem to constitute Covered Services or which were not provided in accordance with the requirements of this Agreement, the Attachments or the Provider Manual, are administrative decisions only. Such a denial does not absolve Provider of Provider’s responsibility to exercise independent judgment in Covered Person treatment decisions. Nothing in this Agreement is intended to interfere with Provider’s provider- patient relationship with Covered Person(s).