The right to receive information on available treatment options
and alternatives presented in a manner appropriate to the enrollee's
condition and ability to understand.
The right to participate in decisions regarding your healthcare including
the right to refuse any proposed treatment consistent with Chapter 71.05 RCW
and 71.34 RCW and CFR 438.100(iv).
The right to be free from any form of restraint or seclusion used as a
means of coercion, discipline, convenience or retaliation, as specified in
other Federal regulations on the use of restraints and seclusion.
The right to receive appropriate care and treatment, employing
the least restrictive alternatives available.
The right to be treated with respect, dignity and privacy.
The right to receive treatment which is nondiscriminatory and sensitive
to differences of race, culture, language, gender, age, national origin,
disability, marital status, sexual orientation, and ability to pay; (this
information is used to provide the most appropriate services, and is voluntary).
The right to be free of any sexual exploitation or harassment.
The right to request a second opinion form a qualified health care
professional at no cost.
The right to receive the services of a certified language or sign
language interpreter and written materials in alternate formats.
The right to accommodation of a disability consistent with Title VI
of the Civil Rights Act.
The right to plan for your care and be involved in the creation of your
individual treatment plan which addresses your unique needs.
The right to receive direct access to mental health professionals for
beneficiaries with special health care needs.
The right to confidentiality and privacy of all information and records
as specified in relevant statues (Chapter 70.02 RCW, 71.05 RCW, 71.34 RCW
& 45 CFR 160 and 164).
The right to review and receive a copy of your case record and be
given an opportunity to make amendments or corrections.
The right to receive an explanation of al medications prescribed,
including expected effect and possible side effects.
The right to expect that any research you agree to participate in
will be done in accordance with all applicable laws, including DSHS rules on
the protection of human research subjects as specified win WAC 388-04.
The right to choose an outpatient primary care provider at the time
of enrollment, to change your primary care provider within the first 90-days
and once during and 12-month period for any reason, and at any time for
good cause (WAC 388-865-0345).
The right to make an advance directive, stating your choice and
preference regarding your physical and mental health
treatment if you
are unable to make informed decisions.
If you are a Medicaid recipient or eligible, the right to receive all
services which are medically necessary to meet your care needs. In the event
that there is a disagreement, you have the right to a second opinion from a
provider within the regional support network about what services are
medically necessary per WAC 388-865-0355.
As long as you are a Medicaid recipient, you will not be billed for
Medicaid covered services.
The right to lodge an agency complaint or PRSN grievance with the
Ombuds' office, PRSN, or provider, if you believe your rights have been
violated. If you lodge an agency complaint or PRSN grievance, you shall
be free of any act of retaliation. The Ombuds' office may, at your request,
assist you in filing. The Ombuds' phone number is 1-888-377-8174.
The right to have a mental health professional or network agency
advise or advocate for you with respect to CFR438.102(i-v) without PRSN
restriction.
The right to file an administrative hearing with DSHS without first
accessing the contractor's grievance process. Use the DSHS pre-hearing and
administrative hearing processes as described in chapter 388-02 WAC.
The right to a Notice of Action appeal for any denial, termination,
suspension, or reduction of services and to continue to receive services
at least until your appeal is heard by a fair hearing judge. To file an
appeal you may:
- Contact the Ombuds' office, or have an advocate, for assistance in
filing an Appeal and throughout the Appeal process
- File a PRSN Appeal with the PRSN by calling 1-800-525-5637
- Request a Fair Hearing by writing to the Office of Administrative
Hearings, Post Office Box 42488, Olympia, WA 98504-2488
To freely exercise any and all rights and exercising these rights
will not adversely affect treatment by the provider, the Peninsula Regional
Support Network or the Mental Health Division.
