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.
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 to accommodate 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 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. A provider within the regional support network
about what services are medically necessary; or
b. For consumers not enrolled in a prepaid health
plan, a provider under contract with the mental health
division.
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
The right to ask for an administrative hearing if you
believe that any rule in WAC 388-865 was incorrectly applied
in your case.
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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
Division of Behavioral health and Recovery.