Patient Rights & Responsibilities

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Patient Rights & Responsibilities 2017-06-29T15:12:23+00:00

Case Management Rights and Responsibilities

As a participant in the care management programs, members have the right to:

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  • Be educated about their rights;
    • Be informed of choices regarding services;
      • Have input into the case management plan;
        • Refuse treatment or services, including case management services and the implications of such refusal relating to benefits eligibility and/or health outcomes;
          • Use end of life and advance care directives;
            • Obtain information regarding the organization’s criteria for case closure;
              • Receive notification and a rationale when case management services are changed or terminated; and
                • Obtain information on alternative approaches when the consumer, family and/or caregiver is unable to fully participate in the assessment phase.
                  • File a complaint regarding the case management program by contacting Clinical Operations at 800-367-9938, or in writing at: 200 W. Monroe, Suite 1850, Chicago, IL 60606

                  Members have the responsibility to:

                  • Accurately and completely disclose relevant information and notify MCM Solutions for Better Health of any changes.
                    • Become involved in individually specific health care decisions.
                      • Work collaboratively with MCM Solutions for Better Health representatives in developing goals and implementing interventions to manage their condition.
                        • Work collaboratively with health care providers in developing and carrying out agreed-upon treatment plans.
                          • Make a good-faith effort to maximize healthy habits, such as exercising, not smoking and eating a healthy diet.
                            • Abide by the administrative and operational procedures of our case management program.