Your Rights & Responsibilities
Members have the RIGHT to:
- Be treated with respect and kindness while protecting your privacy and dignity.
- Know what services are available to you as members of this plan and be helped quickly and courteously.
- Know who your Participating Dentist is and to feel confident that you may change that dentist if you need to.
- Given information by your Participating Dentist about your diagnosis, planned care, possible alternative care, any risks and the expected outcome.
- Refuse treatment and to ask your Participating Dentist what can happen if you choose to refuse treatment.
- Contribute to making decisions along with the Participating Dentist about your dental care needs.
- Criticize or file a complaint (grievance) about MCNA or the dental service you received from the Participating Dentist.
- Ask questions and receive answers to them.
- Know about support services (including interpreters) that are available.
- Be given information about other funding resources available to you for your dental care.
- Be given the opportunity to obtain dental services regardless of race, nationality, religion, age, physical handicap or source of payment.
- Receive treatment for emergency dental conditions that may get worse if not treated in a timely manner.
- Know the rules that apply to your behavior and any consequences that may occur as a result of your behavior.
- Refuse treatment to the extent of the law and to ask your children's Participating Dentist what can happen if you choose to refuse treatment.
- To receive a reasonable estimate of the charges before receiving your dental care.
- Be given a copy of a clear and understandable bill and to have the charges explained.
- Know if dental treatment is for experimental research purposes and to consent to or refuse your participation in the research.
- Expect your health information and care to be kept confidential, as required by law.
- Receive timely access to care, including referrals to specialists when medically necessary, without barriers.
- Ask for a Medicaid Fair Hearing.
- To choose a person to represent you for the use of your information by MCNA if you are unable to.
- Be free from any form of restraint or seclusion used as a way of coercion, discipline, convenience or retaliation.
- Make an advance directive, like a living will.
- Free to use your rights and that the use of those rights does not harmfully affect the way MCNA, our Participating Dentists or State treat you.
- Receive information in different formats and other languages, if necessary.
- Choose whether your personal information is to be sent to another party for uses such as data used in research studies and outside marketing purposes, except when the release of information is required by law.
- To make suggestions about your rights and responsibilities.
You and your child have the Responsibilities to:
- Have your Membership ID card with you at all dental visits and to show it prior to service.
- Be respectful of the Participating Dentist and their staff.
- Be respectful of the rights of other patients.
- Follow the rules and regulations about patient care and conduct of your child's Participating Dentist.
- Provide the Participating Dentist and their office with true and complete information necessary to give your child proper care.
- Obtain services from only Participating Dentist or Specialists with the exception of dental emergencies when outside the service area
- Ask the Participating Dentist questions about his or her instructions.
- Ask the Participating Dentist about the care received.
- Understand your child's dental problems and work with your Participating Dentist as much as possible to decide treatment goals.
- Make good decisions about your dental health and things that could affect his or her dental health.
- Follow the plan of treatment for dental care agreed upon by you and the Participating Dentist and/or dental staff.
- Make sure that payments of dental care are fulfilled as quickly as possible.
- Report unexpected changes in your dental condition to your dentist.
- Keep all appointments and arrive on time. If you are unable to do so for any reason, notify your dentist office in a reasonable time.
