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NBHP Member Rights and Responsibilities

As a Medicaid member, you have certain rights and responsibilities.  

You have the right to:

  • Be treated with respect, dignity and regard for your privacy;
  • Be free from discrimination on the basis of race, religion, gender, age, disability, health status or sexual orientation;
  • Get information on treatment options. You should get information in a way that is easy to understand; 
  • Take part in decisions made about your health care. This includes the right to refuse treatment, except as required by law.
  • Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation;
  • Ask for and get a copy of your medical records. You can ask that they be changed or corrected;
  • Have an independent advocate;
  • Ask that we include a specific provider in our network;
  • Get a second opinion;
  • Receive  culturally competent services;
  • Get interpreter services if you have disabilities. Get interpreter services if you do not speak English;
  • Be told if your provider stops seeing clients, or has changes in services;
  • Tell others your opinion about our services. You can do this to regulatory agencies, the government, or the media without it affecting how we provide covered services;
  • Get medically necessary mental health care services according to federal law; and
  • Be free to use all of your rights without it affecting how you are treated.
  • Be free from sexual intimacy with a provider.  If this happens, report it to the Colorado Department of Regulatory Agencies (DORA) at303-894-7788.  Or write to DORA at 1560 Broadway, Suite 1350, Denver 80202.

You have the responsibility to:

  • Learn about your mental health benefits and how to use them;
  • Be a partner in your care. This means:
    • Following the plan you and your care coordinator have agreed on;
    • Participating in your treatment and working toward the goals in your service plan.
    • Taking medications as agreed upon between you and your prescriber.
  • Tell your therapist or doctor if you do not understand your service plan. You should tell him or her if you do not agree with your service plan, or want to change it.
  • Give your therapist or doctor the information he or she needs to give you good care. This includes signing releases of information so that your providers can coordinate your care.
  • Come to your appointments on time. You should call the office if you will be late, or if you can’t keep your appointment.
  • Cooperate with your BHO when you choose a provider or are seen by your provider. If you have questions about choosing a provider, or how to make an appointment, call the BHO Access line listed on the back cover of this handbook
  • Let us know when you change your address or phone number.
  • Treat others with the same courtesy and respect that you expect to be treated.

Confidentiality

Information about your mental health services is considered “protected health information (PHI).  We will only use your PHI to make sure that you get good mental health care and for activities of payment. For example, we can only use PHI:

  • For treatment. We may share your health information with those who are involved in providing your healthcare.
  • For coordinating your care among providers, or between a provider and an insurance company.
  • To communicate with your mental health professionals who have given you services so we can pay claims.
  • To look at how our members use services. This helps us to provide better care.
  • When required by law. We will share PHI when federal, state or local law requires it. We will share PHI if we get a court order or if your records are subpoenaed. 
  • To collect information about disease or injury to report it to a public health authority.
  • In order to avoid a serious threat to health or safety.  We may share PHI with law enforcement or other persons if we believe this is necessary to prevent or reduce the threat of harm.