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Blue Mountains
Blue Mountains

Member's Rights and Responsibilities Statement

Statement of Members’ Rights

Members have the right to:

  • Be treated with dignity and respect.
  • Be treated fairly, regardless of their race, religion, gender, ethnicity, age, disability, or source of payment.
  • Have their treatment and other member information kept confidential. Only where permitted by law may records be released without the member’s permission.
  • Easily access care in a timely fashion.
  • Know about their treatment choices. This is regardless of cost or coverage by their benefit plan.
  • Share in developing their plan of care.
  • Receive information in a language they can understand, and free of charge.
  • Receive a clear explanation of their condition and treatment options.
  • Receive information about clinical guidelines used in providing and managing their care.
  • Ask their provider about their work history and training.
  • Give input on the Members’ Rights and Responsibilities policy.
  • Know about advocacy and community groups and prevention services.
  • Freely file a complaint or appeal and to learn how to do so.
  • Know of their rights and responsibilities in the treatment process.
  • Request certain preferences in a provider.
  • Have provider's decisions about their care made on the basis of treatment needs.
  • Receive information about staff qualifications of those who provide services.
  • Decline participation or withdraw from programs and services.
  • Know which staff members are responsible for managing their services and from whom to request a change in services.

Statement of Members’ Responsibilities

Members have the responsibility to:

  • Treat those giving them care with dignity and respect.
  • Give providers information that they need. This is so providers can deliver quality care.
  • Ask questions about their care. This is to help them understand their care.
  • Follow the treatment plan. The plan of care is to be agreed upon by the member and provider.
  • Tell their therapist about medication changes, including medications given to them by others.
  • Keep their appointments. Members should call their provider(s) as soon they know they need to cancel visits.
  • Let their provider know when the treatment plan is not working for them.
  • Let their provider know about problems with paying fees.
  • Report abuse and fraud.
  • Openly report concerns about the quality of care they receive.
  • Let their provider know if they decide to withdraw from the program.