Consumer Protection

We know that the health and wellness of your patients is your top priority. Patients have more access to medical information than ever before and part of the provider role is to help them best understand, assess, and apply that information. The result is patients who are empowered to take a greater role in their health. Research shows that patient outcomes improve when patients and providers work together. 1Effective partnerships are formed when all parties involved have an understanding of their rights and responsibilities.

Please take the time to review the information below regarding the rights and responsibilities of your HUSKY patients. When an entire practice works in support of patient rights, while also holding members accountable for their responsibilities, the partnership you form gives patients a more active role in their healthcare.


Member Rights

You have the right to...

  • Be treated with respect, dignity and regard for your privacy
  • Get care or information about your care in a timely manner
  • Choose or change your provider
  • Receive active assistance in obtaining an appointment with a specialist
  • Take an active part in planning your care and treatment decisions
  • Receive complete and comprehensive information about your treatment options, regardless of cost or benefit coverage, and have the opportunity to discuss those options with your provider
  • Receive complete and comprehensive information on any financial incentives that might influence the care that you receive from your provider
  • Refuse treatment, except when that treatment is required by law
  • Receive a second opinion
  • Receive interpretation services
  • Request and review your medical records with your provider
  • Make an advanced directive
  • Confidently exercise your rights
  • Receive services regardless of race, color, religion, gender, sexual orientation, age, cultural and ethnic background, or status as a HUSKY Health recipient
  • Make a complaint, grievance and appeal
  • Be free from retaliation
  • Learn about your medical benefits and how to use them
  • Correct or change your Protected Health Information and restrict how it is used
  • Contact your provider to advocate for medical services
  • File an appeal if the authorization of goods or services is partially or fully denied, suspended, reduced or terminated.
    Please refer to your Member Handbook to learn more about Appeals and the Appeals process.
    View your Member Handbook online here.

Please call if you have questions about these rights or would like to make a complaint because you feel your rights have been violated. Our number is 1.800.859.9889.

Member Responsibilities

You have the responsibility to...

  • Give your providers and HUSKY the information they need to better serve you
  • Choose a primary care provider (PCP)
  • Get regular preventive care
  • Follow the plan of care that you agreed upon with your providers
  • Discuss your care with your PCP before seeking care from a specialist unless it is an emergency, pregnancy-related or for family planning
  • Keep your appointments, or let your provider know at least 24 hours in advance if you need to cancel or reschedule
  • Respect the dignity and privacy of others
  • Carry your HUSKY Health cards
  • Notify HUSKY Health and your DSS worker if you change your address or phone number

Resources

The following information is available to support and assist practices with upholding member rights and guiding members to understand their responsibilities:

Web Pages

Documents and webpages in support of members using their benefits:

Links and webpages in support of members choosing and accessing PCPs and specialists:

Educational resources to support member knowledge of health conditions and treatment plans:

CHNCT’s Intensive Care Management (ICM) program supports members with complex health issues to access the care they need and follow through on care plans:

HUSKY Health maintains policies that give members the opportunity to choose how and when to share their information:

Documents

Call HUSKY Health Provider Engagement Services at 1.800.440.5071 for any questions or help building more effective patient relationships.

References

1US Department of Health and Human Services. National Healthcare Quality Report. Rockville (MD): Agency for Healthcare Research and Quality; 2005. Available from: http://archive.ahrq.gov/qual/nhqr05/nhqr05.pdf

This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc., the State of Connecticut’s Medical Administrative Services Organization for the HUSKY Health Program. For the general HUSKY website gateway, please visit www.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services.