Rights & Responsibilities
- Get medical care regardless of your race, color, national origin, disability (mental or physical), sex, religion or age. If you feel you have been treated unfairly or discriminated against for any reason, you may call Medicaid Constituent Services at 1-877-291-5583, or the Federal Office for Civil Rights at 1-303-844-2024.
- Get information about Molina Healthcare, our services, our doctors or other healthcare providers.
- Have privacy and be treated with respect.
- Discuss your treatment options with your doctor, no matter how much the service costs or if it is a covered service.
- Help make decisions about your health care, including the right to refuse care.
- Get medical care according to Molina’s access and quality standards.
- Be free from restraint or seclusion if it used to discipline, to retaliate or for convenience.
- Make a complaint or grievance about Molina or the care you were given. Appeal a decision made by Molina.
- Use your rights without Molina treating you badly.
- Get a copy of your medical records and if appropriate, ask that they be amended or corrected.
- Receive a copy of the Members’ Rights and Responsibilities at least yearly. Suggest changes to this policy.
- Read this Membership and Service Guide. If you have any questions, call Member Services at 1-888-483-0760.
- Use only Molina Healthcare contracted providers, including hospitals, urgent care clinics and doctors.
- Choose a Primary Care Physician (PCP) before you go to get care.
- Get a referral from your PCP before seeing a specialist or getting other types of medical care.
- Keep your appointment and be on time. If you are going to be late, call your doctor. Cancel appointments 24 hours in advance.Keep your appointment and be on time. If you are going to be late, call your doctor. Cancel appointments 24 hours in advance.
- Tell Molina and your doctor everything they need to know to care for you. This includes information about all the medications you are taking.
- Follow the plan and instructions for care that you agree to with your doctor.
- Know your health problems and help to set goals with your doctor about your treatment as much as possible.
- Respect the property, comfort, and privacy of other members, your doctor and his or her staff.
- Tell Molina Healthcare and your Medicaid Eligibility Worker (caseworker) of any changes in your name, address, phone number, if you become pregnant, marital status (marriage, divorce) and insurance.