Member Rights and Responsibilities

Members of ContinuUs have the following rights:

Member Rights

  1. You have the right to be provided information in a way that works for you.
  2. You have the right to be treated with dignity, respect, and fairness at all times.
  3. You have the right to get timely access to your covered services.
  4. You have the right to have the privacy of your personal health information protected.
  5. You have the right to receive information about ContinuUs, our network of providers, and available services.
  6. You have the right to make decisions about your care.
  7. You have the right to file grievances and appeals if you are dissatisfied with your care or services.

Along with the rights that members have as a member of ContinuUs, members have the following responsibilities:

Member Responsibilities

  1. Become familiar with your covered services and the rules you must follow to get these covered services.
  2. Participate in the initial and ongoing development of your care plan.
  3. Participate as a Team member in the Resource Allocation Decision (RAD) method to determine your care plan and options based on your personal outcomes.
  4. Follow the care plan that you and your Team agreed to
  5. Be responsible for your actions if you refuse treatment or do not follow the instructions from your Team or providers.
  6. Use the providers or agencies that are part of the ContinuUs Provider Network, unless you and your Team decide otherwise.
  7. Follow ContinuUs's procedures for getting care after hours.
  8. Notify ContinuUs of a new address or change your phone number.
  9. Notify ContinuUs of any planned temporary stay or move out of the service area.
  10. Provide ContinuUs with correct information regarding your health care needs, finances, and preferences and tell us as soon as possible about any changes in your status.
  11. Treat your Team, home care staff, and service providers with dignity and respect.
  12. Accept services without regard to the provider’s race, color, religion, age, gender, sexual orientation, health, ethnicity, creed (beliefs), or national origin.
  13. Pay any monthly costs on time, including any cost share or spend down, or room and board charges you may have.
  14. Use your Medicare and private insurance benefits, when appropriate.
  15. Take care of any durable medical equipment provided to you by ContinuUs.
  16. Report fraud or abuse on the part of providers or ContinuUs employees.
  17. Do not engage in any fraudulent activity or abuse benefits.
  18. Tell ContinuUs how we are doing.