Rights and Responsibilities

A CBH member has the following rights and responsibilities:

All personal information including the information in a member's medical record will be confidential
A member will be given choices about the care that they receive; CBH will make sure that the member understands every option that is available to them and their situation
A member will never have to be concerned with any form of restraint or seclusion for someone else's convenience or as a means to force them to do something they don't want to do or to punish them
A member has the right to request and receive a copy of their medical record
A member has the right to request that their medical record be changed or corrected
A member has the right to healthcare services in accordance with Quality Assessment and Performance Improvement Access Standards as outlined in 42 CFR 438.206 through 438.210
A member has the right to file a complaint against a doctor, hospital or CMO. In doing so, no one will stop them from receiving the services that they are entitled to
A member will never have to pay if CBH runs out of money to pay their bills
A member will only have to pay a small co-payment and/or deductible, as allowed by state laws and DCH regulations
A member will receive courteous, respectful and considerate treatment from CBH staff, providers, physicians and their office staff
A member has a right to choose a CBH doctor and be told which hospitals they are to use
A member has a right to change their doctor without a reason
A member has a right to know about other doctors who can help them with treatment
A member has the right to know about information about rights and responsibilities, as well as CBH's providers and services
A member has the right to get a second opinion from a qualified healthcare professional
A member has the right to know all about all of the services that they will receive; including the hours of operation, how to get emergency care after hours, how to get services if they are out of town and what exclusions and limits are present on covered services
If any of the services change, CBH must tell the member. If your doctor is not available we must tell the member. If we cancel a service, we must tell the member
A member has a right to tell their doctor and us if they need an interpreter. CBH will get one at no charge if they are hearing impaired or have limited English-speaking abilities
A member has a right to all clinical information about their doctor(s).

A CBH member is responsible for learning and understanding each right they have under the Medicaid program.

This includes the responsibility to:

Ask questions if they don't understand their rights
Keep their scheduled appointments
Cancel appointments in advance when they can't keep them
Only go to the emergency room when they think it is an emergency

A member is responsible to share information relating to their behavioral health status with their PCP and become fully informed about service and treatment options. That includes the responsibility to:

Tell their provider about their health
Talk to their providers about their healthcare needs and ask questions about the different ways their healthcare problems can be treated
Help their providers get their medical records

A member should actively participate in decisions relating to service and treatment options, make personal choices, and take action to maintain their health. That includes the responsibility to:

Work as a team with their provider in deciding what healthcare is best
Do the best they can to stay healthy
Treat providers and staff with respect