As a Medi-Cal member receiving Enhanced Care Management (ECM) or Community Supports services through Risen Health Partners, you retain all the rights guaranteed to you by the California Department of Health Care Services (DHCS) and your Managed Care Plan (such as L.A. Care, Health Net, or Molina).
We believe that a partnership based on mutual respect and clear communication leads to the best health outcomes.
You have the right to:
Respect & Dignity: Be treated with respect and dignity, giving due consideration to your right to privacy and the need to maintain confidentiality of your medical information.
Information: Receive information about Risen Health Partners, our services, our practitioners, and your rights and responsibilities.
Participate in Decisions: Participate in decision-making regarding your own health care, including the right to refuse treatment or services (including ECM) without losing your standard Medi-Cal benefits.
Confidentiality: Have your medical records kept private and confidential, as protected by HIPAA and state laws.
Access to Records: Request and receive a copy of your medical records, and ask that they be amended or corrected.
Voice Complaints: Voice grievances or appeals, either verbally or in writing, about the organization or the care you received.
Non-Discrimination: Receive care without regard to race, color, national origin, religion, sex, marital status, sexual orientation, age, or disability.
Interpreter Services: Receive free language interpreter services if your primary language is not English.
Advance Directives: Formulate advance directives (a living will) regarding your healthcare decisions.
You have the responsibility to:
Provide Information: Supply information (to the extent possible) that Risen Health Partners and your practitioners need in order to provide care. This includes your medical history and current contact information.
Follow Plans: Follow the plans and instructions for care that you have agreed to with your practitioners.
Understand Your Health: Participate in understanding your health problems and developing mutually agreed-upon treatment goals, to the degree possible.
Respect: Treat the staff and other patients of Risen Health Partners with respect and courtesy.
Keep Appointments: Keep scheduled appointments or call to cancel/reschedule at least 24 hours in advance so we can help another member.
Report Changes: Inform your Case Manager if your housing status, phone number, or insurance coverage changes.
If You Have a Concern
If you are unhappy with the care you received, you have the right to file a formal grievance. You will not be treated differently or penalized for filing a complaint.
Contact Us: You can speak directly with our Compliance Officer at (Phone Coming Soon) or email info@risenhealth.org.
Contact Your Health Plan: You may also file a grievance directly with your Managed Care Plan (L.A. Care, Health Net, etc.) by calling the Member Services number on the back of your Medi-Cal card.
State Hearing: If you are unsatisfied with the decision, you may ask for a State Fair Hearing.
Policy reviewed by Ekaterina Timofeeva, PhD.