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Practitioners are not prohibited from advocating on behalf of the member and are
advised of the following:
- The expectation to educate members regarding health needs.
- To share findings of medical history and physical exams.
- To discuss potential treatment options (including those that may be self-administered)
and the risks, benefits and consequences of treatment or non-treatment.
- The side effects and management of symptoms (without regard to plan coverage),
and
- Recognize that the member has the right to receive sufficient information, to
be able to provide input into the proposed treatment plan and has the final say
in the course of action to take among clinically acceptable choices.
H3815_10119EN CMS Approved 10182010
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