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appropriate to the Covered Person's ability to understand; <br />(c) To participate in decisions regarding Covered Person's health care, including the right to <br />refuse treatment; <br />(d) To be free from any form of restraint or seclusion used as a means of coercion, discipline, <br />convenience, or retaliation; <br />(e) To request and receive a copy of their medical records, and to request that they be amended <br />or corrected in accordance with Applicable Law; and <br />(f) To choose a behavioral health care provider. <br />3.45. Background Checks. Provider shall require a criminal history background check through the <br />Washington State Patrol for employees and volunteers of Provider who may have unsupervised access to children, <br />people with developmental disabilities, or vulnerable adults. Further, Provider shall maintain related policies and <br />procedures and personnel files consistent with requirements in Chapter 43.43 RCW, Chapters 388-877 WAC and <br />Chapter 388-06A WAC. <br />3.46. Cultural Considerations. If applicable, Provider shall participate in and cooperate with Health Plan's <br />efforts to promote the delivery of services in a culturally competent manner to all Covered Persons, including those <br />with limited English proficiency and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, <br />sexual orientation or gender identity. <br />3.47. Member Self -Determination. Provider shall (a) obtain informed consent prior to treatment from all <br />Covered Persons, or from persons authorized to consent on behalf of Covered Persons as described in RCW 7.70.065, <br />(b) comply with the provisions of the Natural Death Act (Chapter 70.122 RCW) and Applicable Law and rules <br />concerning advance directives and POLST (e.g., WAC 182-501-0125 and 42 C.F.R. § 417.436), and (c) when <br />appropriate, inform Covered Persons of their right to make anatomical gifts pursuant to Chapter 68.64 RCW. <br />3.48. Advance Directives and POLST. Provider shall ensure that whether a Covered Person has executed <br />an advance directive or POLST shall be indicated in a prominent part of such Covered Person's medical records, and <br />Provider shall not provision care or otherwise discriminate against a Covered Person based on whether the Covered <br />Person has executed an advance directive or POLST. <br />3.49. Mental Health Advance Directives. Provider shall comply with Chapter 71.32 RCW (Mental Health <br />Advance Directives). <br />3.50. Insurance. Provider shall have and maintain insurance appropriate to the services to be performed <br />under the Agreement. Provider shall make copies of certificates of insurance available to HCA upon request. <br />3.51. Health Home Surety Bond. If Provider is a home health agency, Provider represents and warrants <br />that it is in compliance with the surety bond requirements of federal law (Section 4708(d) of the Balanced Budget <br />Act of 1997 and 42 C.F.R. § 441.16). <br />3.52. Solvency_ Requirements. If Provider is at financial risk, as defined in the substantial financial risk or <br />risk provisions in the State Contract, Provider shall be subject to solvency requirements that provide assurance of <br />Provider's ability to meet its obligations. Such requirements shall be regularly monitored and enforced. <br />3.53. Physician Incentive Plans. If Provider makes payment to any physician under a physician incentive <br />plan, such plan shall meet all applicable requirements under the State Contract, including but not limited to disclosure <br />requirements and stop -loss protection. No payment to Provider, or by Provider to a provider, under a physician <br />incentive plan shall, directly or indirectly, be an inducement to reduce or limit Medically Necessary services provided <br />PPA WA - Kittitas County Public Health - 05.07.2025 - ICMProviderAgrccment_360268 Page 9 of 12 <br />