Rights and Responsibilities

Your membership rights

As a member of Montgomery County Care you have the following rights:

  • To be treated with respect and with regard for your dignity and privacy.
  • To be sure that your medical record information will be kept private.
  • To be given information about your health. This information may also be available to someone who you have legally okayed to have the information or who you have said should be reached in an emergency when it is not in the best interest of your health to give it to you.
  • To be able to take part in decisions about your healthcare unless it is not in your best interest.
  • To get information on any medical care treatment, given in a way that you can follow.
  • To be sure that others cannot hear or see you when you are getting medical care.
  • To be free from any form of restraint or seclusion used as a means of force, discipline, ease, or revenge as specified in Federal regulations.
  • To ask, and get, a copy of your medical records, and to be able to ask that the record be changed/corrected if needed.
  • To be able to say "yes" or "no" to having any information about you given out unless CareSource has to by law.
  • To be able to say "no" to treatment or therapy. If you say no, the doctor must talk to you about what could happen and they must put a note in your medical record about it.
  • To be told if the health care provider is a student and to be able to refuse his/her care.
  • To be told of any experimental care and to be able to refuse to be part of the care.
  • To make advance directives (a living will).
  • To file any complaint about not following your advance directive with the Ohio Department of Health.
  • To be free to carry out your rights and know that CareSource, CareSource's providers will not hold this against you.
  • To know that the MCP must follow all federal and state laws, and other laws about privacy that apply.

CareSource may not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, national origin, veteran's status, ancestry, health status, or need for health services in the receipt of health services.

Member responsibilities

As a member of Montgomery County Care you must also be sure to:

  • Notify CareSource of a change in income
  • Notify CareSource of a change in your phone number or address
  • Understand the limits of the benefits provided by the Montgomery County Care program
  • Ensure co-payments are paid upon receiving services
  • Use only approved providers
  • Keep scheduled doctor appointments, be on time, and if you have to cancel, call 24 hours in advance
  • Follow the advice and instructions for care you have agreed upon with your doctors and other health care providers
  • Always carry your ID card and do not let anyone else use your ID card
  • Always present your ID card when receiving services
  • Let us know if you have other health insurance coverage
  • Provide the information that CareSource and your health care providers need in order to provide care for you
  • Understand as much as possible about your health issues and take part in reaching goals that you and your health care provider agree upon

Members are patients of the Community Health Centers of Greater Dayton, Five Rivers Health Centers or other designated provider and must abide by their guidelines for conduct. Violent or threatening behavior, abusive language or gestures, possession of a weapon on CHCGD property, sexual harassment or any other type of harassment, non-compliance with prescribed services, altering prescriptions, altering physician notes or forms, unwillingness to pay, and chronic failure to keep appointments are among the reasons a patient can be dismissed. If a Montgomery County Care member is removed from the services of the provider, he or she will also be disenrolled as a member of Montgomery County Care.

CareSource reserves the right to disenroll a member of Montgomery County Care in the event the member shares a membership card with other people, uses or attempts to use the program to obtain controlled substances they do not need, alters prescriptions, or makes false statements or omissions on an application.

If you wish to appeal a decision CareSource has made, you may make a formal grievance. You may file a grievance by writing to the CareSource Grievance Dept, PO Box 1947, Dayton, OH 45401. We will respond to your grievance within 30 days.

How to notify CareSource of a problem

We hope you will be happy with CareSource and the service we provide. If you have a problem with CareSource or our providers, you should contact us as soon as possible. You, or someone you want to speak for you, can contact us. If you want someone to speak for you, you will need to let us know this. To contact CareSource, call Member Services at 1-877-892-7482 (TTY: 1-800-750-0750 or 711).