Member Rights and Responsibilities

Member Rights and Responsibilities

Your family has rights and responsibilities under the High Fidelity Wraparound program. In particular, as a member of the program, your youth’s rights are very important. Family Care Coordinators must explain your child’s rights at the first visit.

Your rights

As an enrollee in the program, your child or youth has the right to:

  • Be treated with respect, dignity and privacy.
  • Be treated fairly, whatever his/her:
    • Sexual orientation.
    • Ethnic background.
  • Have your youth’s treatment and other information kept private. The only time we may share treatment records is when required. (The Confidentiality section provides more details).
  • Have access to care.
  • Learn about treatment in a way that:
  • Respects your culture.
  • You can understand.
  • Fits your needs.
  • Take part in making your child’s plan of care.
  • Get information in a language your family can understand.
  • Get things translated for free.
  • Get information in other ways if you ask for it.
  • Get information about Magellan and its:
    • Role in the treatment process.
  • Know about the clinical rules followed in your youth’s care.
  • Ask providers and others on the Child and Family Team about their work history and training.
  • Not to be forced to do something you’re not comfortable with. This is based on a federal law.
  • Give your thoughts on the rights and responsibilities policy.
  • Ask for a specific certified provider in our network.
  • Have your child’s team make decisions based on your youth’s needs.
  • Get healthcare services that obey Wyoming and federal laws.
  • Help make decisions about your youth’s healthcare. This includes the right:
  • To get a second medical opinion.
  • To say “no” to treatment. This is your right unless the court says otherwise.
  • File a complaint or grievance about:
    • A High Fidelity Wraparound provider.
    • The care your youth receives.
  • File an appeal about a Magellan action or decision.
  • Get a copy of your youth’s records. You can ask that they be changed or corrected.
  • Use your rights. This will not affect the way Magellan and its providers treat you.
  • Talk with your child and family team about what strategies are right for your child.
  • Ask for information in a way that you can get to it easily. This applies if you have a visual, hearing or physical disability. This will help you know about the benefits and services you can get.
  • Receive information about the benefits provided by us and about benefits you might have, that are not provided by us. There are not any services we do not cover because of moral or religious objections.
  • Receive training on my rights and understand the process for instances of abuse, neglect and exploitation.
  • Choose between in-person services or telehealth services or a combination of both.

Your responsibilities

  • As the parent or guardian of a youth, you have the responsibility to:
    • Provide an email address to your provider so that you can access your child’s electronic health record.
    • Fully participate with the Family Care Coordinator and team in making and carrying out your Plan of Care.
    • Ensure Medicaid benefits are current.
    • Ensure safety of your child and anyone providing care in your home.
    • Give Magellan the information they need. This helps support quality care and getting the right services.
    • Ask questions about your child’s care. This helps you and your team understand your child’s condition. It helps create goals and plans you agree on.
    • Follow your child’s Plan of Care. This plan is agreed upon by the whole team and it is the responsibility of everyone to make sure it is completed. If you encounter barriers, you can contact your family care coordinator.
    • Attend all team meetings. You should call the Family Care Coordinator as soon as you know you need to reschedule a meeting.
    • Tell the child and family team if the plan of care does not seem to be working.
    • Share worries about the quality of your child’s care.
    • Tell someone if you think abuse or fraud happens. (This is someone not being honest.) If you suspect abuse or fraud, call Magellan’s Corporate Compliance Hotline. You can reach this number 24-hours a day, seven days a week.
    • This hotline is run by an outside company.
    • You do not have to give your name when you call.
    • You can also send an email.
    • Magellan will look into all calls and emails.
    • The calls and emails will stay private.
    • Corporate Compliance hotline: 1-800-915-2108.
    • Corporate Compliance email address: Compliance@MagellanHealth.com.
  • You can also report fraud, waste or abuse through Magellan’s Special Investigations Unit
  • Special Investigations Unit hotline: 1-800-755-0850.
  • Special Investigations Unit email: SIU@MagellanHealth.com.
  • You may also report fraud, waste and abuse to the state or federal government.