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for: 3.38. Provider Appeal Rights. If Provider provides physician servi0es, Provider may exercise any appeal rigbts pursuant to Chapters 284-43 md284-fiA WAC to challenge Health Plan's failure to cover a servise. 3.39. Health Pla4 Oversieht and Corective Action, Provider acknowledges and agrees that Health Plan shall conduct ongoing monitoring and periodic formal review that is consistent with appiicable industry standards and the regrlations of the Washington State Office of the Insurance Commissioner, if any. Suoh fomral review shall be completed no less than once every tfrree years or more often if specified, and will identify any deficiencies ol areas of improvement and provide for conective action of any such defic,iencies. Such review shall include an evaluation to ensure that services furnished by Provider to individuals with special heafth care needs are appropriale to the CoveredPerson'sneeds. InaclequateperformanceundertheAgreementwillbesubjecttotherevocationofdelegation or imposition of sanctions in accordance with the dispute resolution process detailed in the Agreement. 3.40. Covered Person Self-Referral. Provider acknowledges that Covered Persons have a right to self.refer (a) Family planning serrrices ancl supplies, and sexually-transmitted disease screening and treatrent services provided at partioipating or non-Participating Providers, including but not limited to family planning agencies; (b) Immunizations, sexually-transmitted disease soreening and follow-up, immunodefioiency virus fiIfV) screening, hberculosis screening and follow-up, and family plarming services through ancl if provided by a local health department; (") Immunizations, sexually transmitted disease screening, family planning and behavioral health services through and ifprovidocl by a school-based health oenter; (d) All services received by American Indian or Alaska Native Covered Persons under the Special Provisions for American lrdians ancl Alaska Natives subsection of the State Contrac! and (e) Crisis Response Services, including cdsis intervsntioq orisis respite; investigation and detention services; and, evaluation and treatment services. Self-refenals can also be made for assessment and intake for behavioral health services, 3.41. Delegated..-.Administrative Services A$eement. h the event that the Agreement delegates administrative funotions to Provider, insluding eesential behavioral health adminisfative functions, the Parties agree that they shall enter into a delegated aclministrative services agreement that contains all provisions required pursuant to the State Contract, 3.42. Confidential Member Information. Provider shail keep information about Covered Persons, including their medical records, confidential in a manner c.onsistent with Applicable Law. 3.43. Medicaid NCCI Files. Provicler may discloso only non-oonfidential information that is also available to the general public about the Medicaid NCCI edit files on ths Medicaid NCCI webpage, 3.44. Member Rights. Provider shall comply with any Appiicable Law that pertain to Covered Persons' rights and shall protect and promote those rights when fumishing services to Covered Persons. Provider shall guarantee eaeh Covered Person the rights set forth below. Each Covered Person must be free to exercise these rights and the exercise of these rights must not adversely affect the way Health Plan or Provider treats tlrs CovEred Person, These rights include: (a) To be treated with respect and with consideration for Covered Person's dignity and privacy; (b) To receive information on available ffeatrnort options and altematives, presented in a manner FPA WA - ICttitas County Public Health - 05.07.20?5 - lCMProviclerAgreeurenl360268 Page 8 of 12