Your Rights in a Long Term Care Plan

Long Term Care Plan members have certain rights, such as the right to:

  • Get timely access to services that help with or prevent a health problem or disability
  • Be told where, when and how to get needed services from your Plan or outside the Plan
  • Be told what you need to know to give informed consent about your care
  • Take part in decisions about your health care including the right to refuse treatment
  • Get care without regard to gender, race, health status, color, age, national origin, sexual orientation, marital status, or religion
  • Privacy about your medical record and when you get treatment
  • Get a copy of your medical records and to ask that the records be amended or corrected
  • Be treated with respect and dignity
  • Be free from any form of restraint or seclusion used as a means of force, discipline, convenience or retaliation.

As a Plan member, you also have responsibilities.

You should always:

  • Use providers who work with the Plan for covered services
  • Get approval from your Care Manager or care team before receiving a covered service
  • Tell the Plan about your care needs and concerns
  • Tell the Plan when you go away or out of town
  • Some people with a certain income must pay a surplus amount (also called spend down) to get Medicaid benefits. As a Plan member, you are responsible for paying this amount to the Plan.

Reach Us


(Long term care customer services)

TTY 1-888-329-1541

Monday - Friday
8:30 a.m. - 8:00 p.m.

10:00 a.m. - 6:00 p.m.

Quick Assist

Have questions? We’re here to help. Our counselors will be glad to answer your questions. We can also help you choose a plan over the phone. All languages are spoken.