Content of Enrollee Information and Other Medicare cost plan

130.4 - Content of Enrollee Information and Other Medicare cost plan Obligations (Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05) The written information provided to enrollees must, at a minimum, include a description of the Medicare cost plan’s written policies on advance directives including an explanation of the following: • That the organization cannot refuse care or otherwise discriminate against an individual based on whether or not the individual has executed an advance directive; • The right to file a complaint about an organization’s noncompliance with advance directive requirements, and where to file the complaint; • That the plan must document in a prominent part of the individual’s current medical record whether or not the individual has executed an advance directive; • That the Medicare cost plan is required to comply with State law; • That the Medicare cost plan must educate its staff about its policies and procedures for advance directives; and • That the Medicare cost plan must provide for community education regarding advance directives. If the Medicare cost plan cannot implement an advance directive as a matter of conscience, it must issue a clear and precise written statement of this limitation. The statement must include information that: • Explains the differences between institution-wide objections based on conscience and those that may be raised by individual physicians; • Identifies the state legal authority permitting such objection; and • Describes the range of medical conditions or procedures affected by the conscience objection.