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Member Rights

You have the right to

  • Confidentiality
  • Receive the services you need if you are eligible
  • Timely notice of eligibility decisions
  • Notification if services are denied, reduced, or terminated
  • Direct your plan of care, within guidelines
  • Choose who is involved in your person-centered team
  • Choose the times and location of meetings
  • Choose your service providers
  • Privacy, dignity, and respect
  • Be free from discrimination
  • Be free from abuse, neglect, and exploitation 
  • Have your property treated with care
  • Be free from coercion
  • Be free from restraints
  • Voice complaints and concerns
  • Right to request a fair hearing
     

Member/Legal Guardian Responsibilities

  • Contact the Care Coordinator if you move to a new location or change your phone number 
  • Contact the Care Coordinator if your service needs to be increased or decreased
  • Contact the Care Coordinator if you want to change providers
  • Be available for scheduled visits with providers
  • Participate in all care plan meetings with your Care Coordinator
  • Contact your Coordinator to discuss any problems or concerns you have with 1915(i) services

     

It is your Care Coordinator's responsibility to

  • Respond to requests for information in a timely manner 
  • Allow you to direct your care plan, within program guidelines 
  • Allow you to choose your service providers 
  • Report any suspected fraud, concealment, or misrepresentation of information provided by you or your legal representative as it relates to eligibility for 1915(i) 
  • Treat you with dignity and respect 
  • Respect the privacy of confidential information
  • Assist you with addressing your complaints or concerns with services
     

Member Rights and Appeals

You may be able to appeal denials, reductions, terminations, discontinuances, or suspensions of benefits.

Learn more about appeals here