Rights & Responsibilities

You have rights and responsibilities as our member. Our staff will respect your rights. We will not discriminate against you for using your rights. This Medicaid Health Plan and any of its affiliated providers will comply with the requirements concerning your rights.

You have a right to:

Receive information about , its services, its practitioners and providers, and member rights and responsibilities.
Be treated with respect and recognition of your dignity and your right to privacy.
Receive Culturally and Linguistically Appropriate Services (CLAS)
To receive Food Services as medically appropriate.
Have your personal and medical information kept private
Participate in decisions regarding your health care, including the right to refuse treatment and express preferences about treatment options
Voice complaints or appeals about HAP CareSource or the care it provides.
Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation
Request and receive a copy of your medical records, and request those be amended or corrected
Be furnished with health care services consistent with State and federal regulations
Be free to exercise your rights without adversely affecting the way the Contractor, providers, or the State treats you
To file a grievance, to request a State Fair Hearing, or have an external review, under the Patient’s Right to Independent Review Act
Be free from other discrimination prohibited by State and federal regulations

Receive information on available treatment options and alternatives, presented in a manner appropriate to your condition and your ability to understand
HAP CareSource may not prohibit or otherwise restrict a provider acting within the lawful scope of practice, from advising or advocating on behalf you as the patient.
Receive Federally Qualified Health Center and Rural Health Center services
To request information regarding provider incentive arrangements including those that cover referral services that place the Provider at significant financial risk (more than 25%), other types of incentive arrangements, and whether stop-loss coverage is provided
To request information on the structure and operation of the HAP CareSource
To make suggestions about our services and providers
To make suggestions about member rights and responsibilities policy
To request information about our providers, such as: license information, how providers are paid by the plan, qualifications, and what services need prior approval
A candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
Disenroll from the health plan

You have a responsibility to:

Review your HAP CareSource handbook and Certificate of Coverage
Make and keep appointments with your HAP CareSource doctor
Treat doctors and their staff with respect
Protect your Medicaid ID cards against misuse
Contact us if you suspect fraud, waste, or abuse
Give your Health Plan and your doctors as much info about your health as possible in order to provide care.
Learn about your health status
Work with your doctor to set care plans and goals
Follow the plans for care that you have agreed upon with your doctor

Live a healthy lifestyle
Make responsible care decisions
Contribute towards your health by taking responsibility, including appropriate and inappropriate behavior.
Apply for Medicare or other insurance when you are eligible.
Report changes to your local MDHHS office if your contact info (like your address or phone number) changes
Report changes that may affect your Medicaid eligibility to your local MDHHS office (like changes in income or changes to your family size). You can call your local MDHHS office or go to https://newmibridges.michigan.gov/.
Understand your health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible.

The HAP CareSource team members, along with our doctors, comply with all requirements concerning your rights.

You have a right to:

Receive information about , its services, its practitioners and providers, and member rights and responsibilities.
Be treated with respect and recognition of your dignity and your right to privacy.
Receive Culturally and Linguistically Appropriate Services (CLAS)
To receive Food Services as medically appropriate.
Have your personal and medical information kept private
Participate in decisions regarding your health care, including the right to refuse treatment and express preferences about treatment options
Voice complaints or appeals about HAP CareSource or the care it provides.
Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation
Request and receive a copy of your medical records, and request those be amended or corrected
Be furnished with health care services consistent with State and federal regulations
Be free to exercise your rights without adversely affecting the way the Contractor, providers, or the State treats you
To file a grievance, to request a State Fair Hearing, or have an external review, under the Patient’s Right to Independent Review Act
Be free from other discrimination prohibited by State and federal regulations
Receive information on available treatment options and alternatives, presented in a manner appropriate to your condition and your ability to understand
HAP CareSource may not prohibit or otherwise restrict a provider acting within the lawful scope of practice, from advising or advocating on behalf you as the patient.
Receive Federally Qualified Health Center and Rural Health Center services
To request information regarding provider incentive arrangements including those that cover referral services that place the Provider at significant financial risk (more than 25%), other types of incentive arrangements, and whether stop-loss coverage is provided
To request information on the structure and operation of the HAP CareSource
To make suggestions about our services and providers
To make suggestions about member rights and responsibilities policy
To request information about our providers, such as: license information, how providers are paid by the plan, qualifications, and what services need prior approval
A candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
Disenroll from the health plan

You have a responsibility to:

Review your HAP CareSource handbook and Certificate of Coverage
Make and keep appointments with your HAP CareSource doctor
Treat doctors and their staff with respect
Protect your Medicaid ID cards against misuse
Contact us if you suspect fraud, waste, or abuse
Give your Health Plan and your doctors as much info about your health as possible in order to provide care.
Learn about your health status
Participate in your care and ask questions
Work with your doctor to set care plans and goals
Follow the plans for care that you have agreed upon with your doctor
Live a healthy lifestyle
Make responsible care decisions
Contribute towards your health by taking responsibility, including appropriate and inappropriate behavior.
Apply for Medicare or other insurance when you are eligible.
Report changes to your local MDHHS office if your contact info (like your address or phone number) changes
Report changes that may affect your Medicaid eligibility to your local MDHHS office (like changes in income or changes to your family size). You can call your local MDHHS office or go to https://newmibridges.michigan.gov/.
Understand your health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible.

The HAP CareSource team members, along with our doctors, comply with all requirements concerning your rights.

Overview

Changes to the Drug List

Rights & Responsibilities

You have a right to:

You have a responsibility to:

You have a right to:

You have a responsibility to: