Member Rights & Responsibilities

Your Rights as a MO HealthNet Managed Care Health Plan Member

You have the right to:

  • Be treated with respect and dignity
  • Receive needed medical services
  • Privacy and confidentiality (including minors) subject to state and federal laws.
  • Select your own PCP.
  • Refuse treatment.
  • Receive information about your health care and treatment options.
  • Participate in decision-making about your health care.
  • Have access to your medical records and to request changes, if necessary.
  • Have someone act on your behalf if you are unable to do so.
  • Get information on our Physician Incentive Plan, if any, by calling 1-855-694-HOME (4663).
  • Be free of restraint or seclusion from a provider who wants to:
    • Make you do something you should not do;
    • Punish you;
    • Get back at you; or
    • Make things easier for him or her.
  • Be free to exercise these rights without retaliation.
  • Receive one copy of your medical records once a year at no cost to you

Additional Rights

  • Receive information about Home State, its services, its practitioners and providers and member rights and responsibilities.
  • A candid discussion of appropriate or medically necessary treatment options for their conditions, regardless of cost or benefit coverage.
  • To voice grievances or appeals about Home State or the care it provides.
  • To make recommendations regarding the Home State’s member rights and responsibilities policy.

Additional Responsibilities 

You have the responsibility to:

  • Call Home State to order a member ID card if yours is lost
  • Carry your Home State member ID card AND your MO HealthNet card at all times
  • Contact your PCP first when needing medical care
  • Only use the emergency room in an emergency
  • Follow all instructions given by your health care provider
  • Follow appointment scheduling rules
  • Make and keep PCP appointments or call ahead to cancel
  • Make sure your child sees his/her PCP for regular check-ups and shots
  • Supply information (to the extent possible) that the organization and its providers need in order to provide care
  • Follow plans and instructions for care that you have agreed to with your providers
  • Provide all the information (to the extent possible) that the organization and its practitioners and providers need to care for you
  • Show your Home State member ID card at all health care offices
  • Understand your health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible
  • Provide information needed by providers in caring for the member
  • Contact your PCP as their first point of contact when needing medical care
  • Follow appointment scheduling processes
  • Follow instructions and guidelines given by providers

Approved: May 11, 2012