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
- 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.
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