To get information or questions answered about the member rights and responsibilities, the D.C. Medicaid Managed Care Program, Health Right, Inc., and its services, its doctors, and its other network providers delivering services
To be treated with respect and recognition of dignity by the care team
To understand an illness
To have the care team explain the treatment and alternatives before treatment occurs
To refuse treatment or care from specific providers
To know that conversations with the care team will be confidential
To choose an eligible provider from within the network
To obtain medical services without delay
To be able to make a complaint or appeal about Health Right Inc. or the care provided and expect a prompt answer
To be able to switch providers
To participate in decision making about your care and have a candid discussion of appropriate or medically necessary treatment options, regardless of cost or benefit coverage
To have access to your medical records
To receive information on advance directives and to forgo or withdraw any life-sustaining treatment
To have a right to privacy and receive a copy of our HIPAA “notice of privacy practices”
To receive a copy of health right’s member handbook upon request
To offer advice about the member rights & responsibility policy
To be free from any form of restraint, or seclusion used as a means of coercion, discipline, convenience or retaliation.
To receive interpretation and translation services
Responsibilities
To follow D.C. Medicaid Managed Care Program and Health Right Inc. rules
To follow instructions & guidelines given by those providing health care services
To understand the consequences of not following a treatment plan
To fully inform the care team about medical and relevant personal problems required to treat your health care needs
To understand your health problems and participate in developing mutually agreed-upon treatment goals to the degree possible
To assist Health Right in obtaining previous medical records from providers
To not seek care from specialists unless it has been authorized by the primary care doctor
To not seek routine medical care from an Emergency Room
To treat the care team with respect
To express complaints, concerns and opinions in a polite manner
