Medicaid Rights & Responsibilities
Members who receive Medicaid benefits have important rights and protections under New York State Medicaid law.
This information applies to:
- Elderplan for Medicaid Beneficiaries
- Elderplan Plus Long-Term Care
- HomeFirst Managed Long-Term Care
Your Right to Receive Medically Necessary Care
You have the right to:
- Receive medically necessary care
- Access services in a timely manner
- Participate in decisions about your care
- Refuse treatment
Your Right to Leave the Plan
Members receiving Medicaid benefits have the right to voluntarily leave the plan in accordance with applicable enrollment rules and without retaliation.
Your Right to Information You Can Understand
You have the right to:
- Receive information in a language you understand
- Access free oral interpretation services
- Receive information in accessible formats
Your Right to Culturally Competent Care
You have the right to receive care that respects your:
- Language
- Culture
- Traditions
- Beliefs
Your Right to Privacy and Dignity
You have the right to:
- Be treated with dignity and respect
- Have your medical information protected
- Receive services free from discrimination
- Receive services free from coercion or retaliation
Your Right to Access Your Records
You have the right to:
- Obtain copies of your records
- Request corrections
- Understand how your information is shared
Your Right to Appoint a Representative
You may appoint a family member, friend, provider, attorney, or another trusted individual to assist you.
Your Right to File Complaints and Appeals
You have the right to:
- File complaints
- Request appeals
- Request Fair Hearings
- Request External Appeals when eligible
Your Responsibilities as a Member
As a member, you are responsible for:
- Providing accurate information
- Maintaining Medicaid eligibility
- Following your care plan
- Working with your providers and care team
- Reporting changes that may affect your eligibility or services