Medicaid Member's Rights and Responsibilities

As a member of Health First Colorado, you have rights and responsibilities.

Your Rights

You have the right to:

1. Get the information in this handbook and about your coverage, plans, benefits and services.
2. Be treated with respect and consideration for your privacy and dignity.
3. Get information in a way you can easily understand.
4. Get information from your provider about treatment choices for your health condition.
5. Be involved in all decisions about your health care and say “no” to any treatment offered.
6. Not be secluded or restrained as a punishment or to make things easier for your provider.
7. Ask for and get a copy of your medical records and ask that they be changed or corrected.
8. Get quality health care services in a timely and coordinated way.
9. Use your rights without fear of being treated poorly.
10. Any other rights guaranteed by law.
11. Be free from discrimination based on race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, disability or health status.
12. Ask your health plan for help if your provider does not offer a service you need because of moral or religious reasons.

Your Responsibilities

You have the responsibility to:

1. Understand your rights.
2. Follow this Health First Colorado’s (Colorado’s Medicaid Program) handbook.
3. Treat other members, your providers and staff with respect.
4. Choose a primary care provider and go to HealthFirstColorado.com. Or call 303-839-2120 or 888-367-6557 (State Relay 711) if you want to see a different provider.
5. Pay for services you get that are not covered by Health First Colorado.
6. Tell your provider and Health First Colorado if you have any changes to your family, income, jobs, other insurance or address.
7. Ask questions when you do not understand or want to learn more.
8. Tell your provider information they need to care for you, such as your symptoms.
9. Take medications as prescribed and tell your provider about side effects or if your medications are not helping.
10. Invite people who will be helpful and supportive to you to be included in your treatment.
11. Report suspected member or provider fraud or abuse to Member Fraud at 844-475-0444 or Provider Fraud at 855-375-2500. Or go to https://hcpf.colorado.gov/how-report-suspected-fraud.