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About This Handbook - page 49 / 81

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Rights and Responsibilities

Participating in “The Waiver” may give you a great sense of freedom.  The freedom also comes with responsibility.  It is important to understand your rights and responsibilities as a waiver participant.

This section explains your rights and responsibilities.  If you have any questions about the information in this section, you should seek help from your case manager (CM), your circle of support, or one of the agencies listed in the Resource section of this guidebook.

The agencies involved in “The Waiver” each have a process to address any concerns or complaints you might have.  If there is a problem with your services or your providers you should ask to speak with a supervisor and try to work it out with them.  If this does not resolve the problem to your satisfaction, you can file an appeal or grievance.  This section tells you what steps to take to resolve disagreements in different situations with the Department of Health (DOH), Department of Human Services (DHS), and provider agencies.

This section reviews what you should do if you are denied

Medicaid eligibility

Waiver eligibility

Waiver services

Or

Waiver services are reduced

Waiver services are discontinued

You are unhappy with services or providers

You disagree with any decision made by the State

State Process  (For DOH/DHS Applicants and Participants)

You have the right to disagree with any decision made by the State about you or your services.  When the service or decision you are dissatisfied with originates from the DOH or DHS, you always have the right to:

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