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 your health care services
  • Be treated with dignity and respect
  • Receive Culturally and Linguistically Appropriate Services (CLAS)
  • 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
  • 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
  • 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

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
  • Learn about your health status
  • Participate in your care and ask questions
  • Give your medical information (to the extent possible) to your doctors that is needed to provide care.
  • Work with your doctor to develop a care plan that you both agree on
  • Follow health plans and advice that you and your doctor agreed to
  • 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/.

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