; (4) shall notify patients, in a culturally appropriate manner, of their right to receive language assistance services in their primary language, verbally and in writing; (5) shall not— (A) require an individual with limited-English proficiency to provide his or her own interpreter; (B) rely on an adult accompanying an individual with limited-English proficiency to interpret or facilitate communication, except— (i) in an emergency involving an imminent threat to the safety or welfare of an individual or the public where there is no qualified interpreter for the individual with limited-English proficiency immediately available; or (ii) where the individual with limited-English proficiency specifically requests that the accompanying adult interpret or facilitate communication, the accompanying adult agrees to provide such assistance, and reliance on that adult for such assistance is appropriate under the circumstances; (C) rely on a minor child to interpret or facilitate communication, except in an emergency involving an imminent threat to the safety or welfare of an individual or the public where there is no qualified interpreter for the individual with limited-English proficiency immediately available; or (D) rely on staff other than qualified bilingual or multilingual staff to communicate directly with individuals; (6) shall for each eligible LEP language group that constitutes 5 percent or 500 individuals, whichever is less, of the population of persons eligible to be served or likely to be affected or encountered in the service area of the organization, make available— (A) easily understood patient-related materials, including print and multimedia materials; (B) information or notices about termination of benefits; and (C) signage; (7) shall develop and implement clear goals, policies, operational plans, and management, accountability, and oversight mechanisms to provide culturally and linguistically appropriate services and infuse them throughout the organization’s planning and operations