Your rights and responsibilities

HAP Empowered members have many rights and responsibilities. These are important to ensure you get quality care. Our staff and providers follow enrollee rights.

You have a right to:

  • Privacy and confidentiality
  • Be treated with respect and dignity
  • Get care that meets your health needs
  • Get information about HAP Empowered services and providers
  • Get information about practitioners, rights, and responsibilities
  • Work with doctors to make decisions about your health care
  • Choose or change your PCP
  • Talk about proper or medically necessary treatment for your conditions – regardless of cost or benefit coverage
  • Decide what type of care you would like if critically ill
  • Get medical care through a Federally Qualified Health Center (FQHC) or Rural Health Center (RHC)
  • Help make decisions about your health care, like asking about treatment options or refusing care
  • Ask for advice from another doctor when you are unsure of the care your doctor suggests
  • Ask for a copy of your medical records, including changes or corrections
  • Get timely customer service
  • Voice complaints or appeals about HAP Empowered or our care
  • Contact Customer Service to file a grievance or appeal
  • Ask for an administrative Fair Hearing with the Michigan Department of Health and Human Services (MDHHS)
  • Get information about HAP Empowered operation
  • Make suggestions about our services and provider
  • Make suggestions about member rights and responsibilities
  • Be free of restraint or seclusion used to pressure, punish, convenience, or retaliate
  • Get a second medical opinion from an in-network provider
  • Get a second medical opinion from an out-of-network provider if someone in-network is not available. The plan will arrange for an out-of-network provider. Plan approval is required
  • Request information regarding doctor incentive arrangement, including financial and other types of incentives and whether stop-loss coverage is provided
  • Request information on the structure and operation of the HAP Empowered Medicaid Health Plan

You have a responsibility to:

  • Take good care of your health
  • Talk to your doctors about regular check-ups and screenings
  • Understand your health problem
  • Understand your medication and why you are taking them
  • Participate in your care and ask questions
  • Give your medical information to your doctors
  • Work with your doctor to develop a care plan that you both agree on
  • Follow health plans and advice that you and your doctor agreed to
  • Go to appointments and arrive on time. If you cannot keep your appointment, call your doctor to reschedule
  • Know what to do when your PCP’s office is closed
  • Notify us of life changes. If you have a baby or your family size changes, call your DHS worker and let them know. Call HAP Empowered and let us know too
  • Read your Handbook and learn how HAP Empowered works
  • Follow HAP Empowered policies for getting health care services
  • Choose a PCP
  • Show your HAP Empowered and mihealth cards when you need care
  • Treat other members, staff, and providers with respect
  • Make sure no one else uses your HAP Empowered and mihealth cards
  • Report suspected fraud and abuse
  • Notify us of address or phone number changes. If you move or change your phone number, call us at (888) 654-2200 (TTY: 711). You must call your caseworker at your local Department of Human Services (DHS) office

The HAP Empowered team members, along with our doctors, comply with all requirements concerning your rights.