Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 480 - HOME AND COMMUNITY-BASED SERVICES › Chapter 3 - PARTICIPANT ACCESS AND REQUIREMENTS › Section 480-3-002 - PARTICIPANT RIGHTS AND RESPONSIBILITIES

Current through June 17, 2024
002.01
PARTICIPANT RIGHTS.
In addition to the rights afforded
  to all persons, a participant enrolled in the Department's Division of Medicaid
  and Long-Term Care (MLTC) program has the right to:
(A) Be treated with dignity and
  respect;
(B) Be protected from
  abuse, neglect, exploitation and other threats to personal health, safety and
  well-being;
(C) Appoint an
  authorized representative to act on their behalf as a paid provider cannot sign
  their own claim on behalf of the participant; the signature of another
  competent representative of the participant, with the knowledge of the service
  delivery is required;
(D)
  Participate with the services coordinator in the service plan development
  process, and receive services in a person-centered manner that is in accordance
  with the approved service plan. Lead the process of service plan development
  when possible; and, include a representative that the individual has freely
  chosen, as well as other individuals chosen by the participant to contribute to
  the process. Person-centered services are delivered in a manner that is
  attentive to the participant's needs and maximizes personal
  independence;
(E) Have the services
  coordinator explain what services are available, how those services will assist
  the participant and what the participant's rights and responsibilities
  are;
(F) Request assistance with
  finding appropriate providers;
(G)
  Confirm that services were received in the manner authorized in the
  person-centered plan (PCP) according to Department procedures.
(H) Openly communicate with the services
  coordinator and receive information in a manner that is easy to
  understand;
(I) Meet privately with
  the services coordinator;
(J)
  Receive ongoing assistance from the services coordinator;
(K) Choose the participant's services
  coordinator among approved and willing services coordination options. Request
  changes of services coordination in accordance with availability in the service
  area;
(L) Make informed choices
  regarding the services and supports outlined in the personcentered plan (PCP),
  and the provider from which the participant will receive the services and
  supports. Access files, records or other information related to enrollment in
  and delivery of services under the Medicaid Home and Community-Based Services
  (HCBS) Waiver Program;
(M) Be
  assured of confidentiality of personal and sensitive health care information
  pursuant to relevant confidentiality and information disclosure laws;
(N) Request assistance with problems,
  concerns and issues, and suggest changes without fear of
  repercussion;
(O) Be fully informed
  about how to contact the services coordinator with problems, concerns, issues
  or inquiries;
(P) Be informed of
  the right to appeal decisions made by the Department about Waiver eligibility
  or services pursuant; and
(Q) Be
  informed of the right to file a formal complaint with the Department.