Rights and Responsibilities of the Beneficiary

Rights of the Beneficiary :

  1. You have the right to effective communication and to receive information in a way that you can understand.
  2. You have the right to receive answers to all questions you may have about the eligibility determination process.
  3. You have the right to be notified in writing of the decision made in your re-certification process and / or application.
  4. You have the right to privacy during the interview.
  5. You have the right to receive answers to all questions you may have about the eligibility determination process.
  6. You have the right to request a revision in case you aren't comfortable with the eligibility determination made.
  7. You have the right to receive quality and ethical treatment, regardless of your sex, race, religion, color, and nationality.
  8. You have the right to safeguard the confidentiality of all documents submitted by you and which are in our possession. In accordance with the rules and procedures of the Program and the HIPAA Act.

Responsibilities of the Beneficiary :

  1. You have the responsibility to submit all the documents requested and provide all the information necessary to make the eligibility determination.
  2. You have the responsibility to ask questions and be sure that you understand the information that has been communicated to you by the employee who attended you.
  3. You have the responsibility to answer the questions that are asked in the interview with the truth.
  4. You have the responsibility to inform us about any changes that occur in your family unit (change of address, births, deaths, increase and / or decrease in income, employment, unemployment, others) as soon as possible.
  5. If you wish to request a review, you have the responsibility to make the request in writing within a non-extendable term of ten (10) days from the date you are notified of the eligibility determination. Failure to request such a review within the stated time limit, the determination of the Program shall come to a final and firm conclusion without further processing.
  6. You have the responsibility to go to the Office of the Medicaid program whenever you are cited in order to clarify any situation that arises about your case.