Nondiscrimination, Language Access, and Effective Communication
Sets out how the Agency prevents discrimination against clients and applicants for services, gives free language assistance to people with limited English proficiency, and communicates effectively with people with disabilities, as Section 1557 of the Affordable Care Act (45 CFR Part 92) requires of an agency paid by Medicaid. It covers the nondiscrimination notice and the notice of available language help, qualified interpreters and translators (never minors, and adults only in the narrow cases the rule allows), auxiliary aids and reasonable modifications, the Section 1557 Coordinator, discrimination grievances, and training.
- Policy number
- MI-HC-CR-02
- Version
- 1.0
- Main rule
- 45 CFR Part 92
- Library
- Michigan home care · 50 policies
- Category
- Client rights
- Sections
- 19
In short
- We serve everyone without discrimination.
- Language help, sign language interpreters and large print are free. Never ask a client to bring or pay for an interpreter.
- Never use a child to interpret, except for a moment in an emergency until a qualified interpreter is found.
- Use an adult family member or friend only if the client asks, in private, with a qualified interpreter present, and record it.
- Pass any request for help or any discrimination concern to the office the same day.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (45 CFR Part 92)
- 5. The Section 1557 Coordinator
- 6. Notices and Postings
- 7. Language Access Procedures
- 8. Effective Communication for People with Disabilities
- 9. Reasonable Modifications
- 10. Discrimination Grievances
- 11. Accessibility of Agency Places and Technology
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me your notice of nondiscrimination and where it is posted. Is it on your website?
- A client speaks only Arabic. How does the caregiver communicate with her about her care, and who pays the interpreter?
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