Rights and Responsibilities

You have many rights as a CareSource PASSE member. The full list of rights is also in your member handbook. You can get a printed copy sent to if you call Member Services.

To receive information about CareSource PASSE, our services, practitioners and providers, and your rights and responsibilities.
To receive all services that CareSource PASSE must provide.
To be treated with respect and with regard for your dignity and privacy.
To work with providers in making decisions relating to your health care.
To discuss medically necessary treatment options for your condition(s), no matter the cost or benefit coverage.
To be sure that your medical information will be kept private.
To get information about your health. This information may also be available to someone who you have legally authorized to have this information.
To request information at any time on our physician incentive plan or marketing materials.
To be able to take part in decisions about your health care unless it is not in your best interest.
To get information about any medical care treatment in a way that you understand.
To get care that is culturally sensitive and respectful.
To be sure that others cannot hear or see you when getting medical care.
To be free from restraint or seclusion used as a means of force, discipline, or revenge as specified in federal regulations.
To ask and get a copy of your medical records. To be able to ask for the record to be changed or corrected if needed.
To be able to say yes or no to having any information about you given out unless CareSource PASSE has to by law.
To be able to say no to treatment or therapy. If you say no, the provider or CareSource PASSE must tell you what could happen. A note will also be placed in your record about the treatment refusal.
To be able to file an appeal or a grievance (complaint).
To voice complaints about the organization or the care it provides.
To get all CareSource PASSE written member information from us at no cost in the prevalent non-English languages of our service area.
To be able to get help with sign language if you are hearing impaired.
To be told if the provider is a student and to be able to refuse their care.
To be told of any experimental care and to be able to refuse to be part of the care.
To make an advance directive (a living will).
File any complaint about not following your advance directive with the Arkansas Department of Human Services at 501-682-8292(TDD/TTY: 711).
To be free to carry out your rights and know that CareSource PASSE, our providers, or the State will not hold this against you.
To know that CareSource PASSE must follow all federal and state laws and other laws about privacy that apply.
If you are a female, you have the right to see a CareSource PASSE provider specializing in women’s health.
To get a second opinion about your care from a provider in our network. If one is not available, we must set up a visit with a provider outside of our network.
To go out of network for care if CareSource PASSE cannot provide a covered service within 60 miles of your home in our network.
To get information about CareSource PASSE’s structure and operation.
Get a written notice within seven business days if there is a change in your care coordinator.
To make recommendations about our member rights and responsibilities policy.
Get the following information on CareSource PASSE from Member Services:
- Structure, governance, and operation.
- How CareSource PASSE rates on quality metrics and performance measures tracked by DHS or CMS.
- The PASSE’s non-discrimination policies and the individuals responsible for overseeing those policies, as well as responding to accessibility and discrimination claims made against the PASSE.
- A list of any counseling or referral services not provided by CareSource PASSE because of moral or religious objections, and how they can obtain information on and how to receive those services through DHS.

As a member of CareSource PASSE you also have the responsibility to:

Use providers in the CareSource PASSE network.
Keep the visits you make with your providers and be on time. Call at least 24 hours before the visit if you need to cancel.
Follow the advice and instructions for care you have agreed to with your providers.
Always carry your ID card. Show it when getting care. Never let others use your ID card.
Tell your county caseworker and CareSource PASSE if you move or have a new phone number or email.
Contact your providers after you go to urgent care or hospital for emergency care. They can help with any follow-up care you need.
Tell your county caseworker and CareSource PASSE if you are covered by other health insurance.
Give as much information as you can that CareSource PASSE and your providers need in order to provide care.
Tell us of suspected fraud, waste, abuse, or overpayment as described through the Fraud, Waste, and Abuse page.
Understand as much as possible about your health issues and take part in reaching the goals agreed to with your providers.