Member care

Provider/Member Relationship

• Rights & Responsibilities
• Patient Reassignment

Providing Services

• Member Identification Cards
• Determining Eligibility
• Collecting Member Payment
• Patient Protection and Affordable Care Act (Federal Health Care Reform)
• Affordable Care Act — Habilitative Services
• Cell and Gene Therapy (CGT) Monitoring

Protecting Health Information

• Member Confidentiality Standards
• Requests for Protected Health Information (PHI)
• Safeguarding of Protected Health Information (PHI)
• Medical Record Standards