One True Statement About the Responsibilities of Providers Under Typical

question 76

Multiple Choice

One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:

• A) include a clause which states that providers must maintain open communications with patients regarding appropriate treatment plans, unless the services are not covered by the member's health plan
• B) hold that the responsibility of the provider to deliver services is usually subject to the provider's receipt of information regarding the eligibility of the member
• C) contain a gag clause or a gag rule
• D) include a clause that explicitly places the responsibility for medical care on the health plan rather than on the provider of medical services

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Definitions:

Categories

Groupings or classifications of items, concepts, or phenomena based on shared characteristics or criteria.

Co-occurring Disorders

The presence of two or more disorders (such as substance abuse and mental health conditions) in an individual simultaneously.

Addiction

A chronic disorder characterized by compulsive drug seeking, drug use despite harmful consequences, and long-lasting changes in the brain.

Mental Disorder

A broad range of conditions that affect mood, thinking, and behavior, impacting an individual's ability to function daily.