Chronic Care/Disease Management Provider Rights and Responsibilities

Health Net Federal Services, LLC (HNFS) values the provider-patient relationship and strives to respect the rights of physicians and other providers at all times.

Physicians and other providers have a right to:

• Be treated courteously and respectfully by HNFS Chronic Care/Disease Management (DM) program staff at all times.
• Request information about the DM program, its services, staff, and contractual relationships.
• Contact the program and receive information from the DM specialist who is providing education to his or her patient(s).
• Upon request, be provided with copies of evidence-based clinical practice guidelines, clinical decision support tools used by the program and/or the DM program description.
• Consult with an HNFS medical director at any point in his/her patient’s participation in the program.
• File a complaint about any aspect of the DM program.

Physicians and other providers have a responsibility to:

• Incorporate evidence-based clinical practice guidelines into a beneficiary's plan of care.
• Communicate concerns he or she has about the DM program. 
• Inform the DM program if he or she does not want to receive letters and faxes regarding the beneficiary's plan of care.