Members

Rights and Responsibilities 

Virtual Care

Member Rights & Responsibilities

Did you know that as a member of Molina Healthcare, you have certain rights and responsibilities? Knowing your rights and responsibilities will help you, your family, your provider and Molina Healthcare ensure that you get the covered services and care that you need. 

You have the right to:  

  1. To be treated with respect, and recognition of their dignity and need for privacy; 
  2. To be provided with information about the Contractor, its services, the practitioners providing care, and Members’ rights and responsibilities in accordance with 42 CFR 438.10;

  3. To be able to choose primary care practitioners, including specialists as their PCP if the Member has a chronic condition, within the limits of the Network, including the right to refuse care from specific practitioners;

  4. To participate in decision-making regarding their health care, including the right to refuse treatment;

  5. To pursue resolution of Grievances and Appeals about the Contractor or care provided;

  6. To formulate Advance Directives;

  7. To have access to his/her medical records in accordance with applicable federal and state laws and to request that they be amended or corrected as specified in 45 CFR Part 164;

  8. To guarantee the Member’s right to be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience, or retaliation;       

  9. To receive information on available treatment options and alternatives, presented in a manner appropriate to the Member’s condition and ability to understand; and

  10. To ensure the Member is free to exercise his or her rights without the Contractor or Network Provider treating the Member adversely.

Nevada Department of Health and Human Services
4126 Technology Way #100
Carson City, NV 89706
Phone: (775) 684-4000 (Deaf and Hard of Hearing dial: 711)

You are responsible: 

  1. For providing to the health care provider, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to his or her health.
  2. For the cost of unauthorized services obtained from non-participating providers. 
  3. For reporting unexpected changes in your condition to the health care provider.
  4. For reporting to the health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her.
  5. To follow the care plan that you have agreed on with your provider.
  6. For keeping appointments and, when he or she is unable to do so for any reason, to notify the health care provider or healthcare facility.
  7. For his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions.
  8. For assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.
  9. For following health care facility rules and regulations affecting patient care and conduct.
  10. To understand your health problems and participate in developing mutually agreed-upon treatment goals to the degree possible.
  11. To report truthful and accurate information when applying for Medicaid. (You will be responsible to repay capitation premium payments if your Enrollment is stopped due to failure to report truthful or accurate information.)


*You may request printed copies of all content posted on our website.