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Member Rights and Responsibilities

  1. You have the right to receive a Member Handbook and to receive information about MHS Health Wisconsin. You have a right to know about MHS Health services, practitioners and providers. You are entitled to all member rights.
  2. You have the right to be treated with respect and with care for your dignity and privacy.
  3. You have the right to make decisions about your healthcare. This includes the right to participate with practitioners in making decisions about your healthcare. This includes the right to refuse treatment.
  4. You have the right to receive information about treatment options. This includes the right to request a second opinion in a manner appropriate to your condition and ability to understand. This also includes the right to open discussion with your provider of treatment options for your condition, regardless of cost or benefit coverage.
  5. You have the right to voice complaints or appeals about this organization or the services we provide.
  6. You have the right to make recommendations to us regarding our member rights and responsibilities policy.
  7. You have the right to ask for an interpreter and have one provided to you during any Medicaid- or BadgerCare-covered service or appeal process.
  8. You have the right to receive the information in the handbook in another language or another format.
  9. You have the right to receive healthcare services as provided for in federal and state law.  All covered services must be available and accessible to you. When medically appropriate, services must be available 24 hours a day, 7 days a week.
  10. You have the right to be free from any form of restraint or seclusion used as a means of force, control, ease of reprisal or retaliation. 
  11. You have the responsibility to tell your doctor and other providers what they need to know in order to treat you.
  12. You have the responsibility to follow the treatment plan agreed upon by you and your provider.  
  13. You have a responsibility to understand your health problems. It is your responsibility to participate in developing mutually agreed upon treatment goals. This includes making and keeping appointments.
  14. If you are not able to keep an appointment, you must inform your doctor as soon as possible.
  15. It is your responsibility to present your ForwardHealth ID card when getting care.
  16. If you have other insurance, you must tell your provider. You have a responsibility to follow the guidelines of your other insurance.

CIVIL RIGHTS

  1. MHS Health provides covered services to all eligible members regardless of age, race, religion, color, disability, sex, sexual orientation, national origin, marital status, arrest or conviction record or military participation.
  2. All medically necessary covered services are available to all members.
  3. All services are provided in the same manner to all members.
  4. All persons or organizations connected with MHS Health who refer or recommend members for services shall do so in the same manner for all members.
  5. Translation or interpreting services are available for those who need them. This service is free.