• be treated with respect
• be treated by providers the same as other people seeking health care benefits
• choose and change primary care providers (PCP)
• seek treatment for mental health, chemical dependency or family planning services without a referral from a PCP
• have a friend, family member or advocate present during appointments
• be involved in your treatment plan
• receive information on available treatment options and alternatives, including the benefits and consequences of refusing treatment
• receive written materials on rights and responsibilities, available benefits, how to access services and what to do in an emergency in a manner that is understandable
• receive covered services under the Oregon Health Plan (OHP)
• receive necessary and reasonable services to diagnose a condition and obtain covered services
• have access to urgent and emergency services 24 hours a day, 7 days a week
• receive a referral to a specialist for covered services
• access to your own clinical record, unless restricted by statute
• transfer your records to another provider
• complete an Advanced Directive and/or a Declaration of Mental Health Treatment
• receive a written notice of changes in benefits
• receive interpreter services
• receive notice of an appointment cancellation in a timely manner
• file a grievance (complaint) about the Oregon Health Plan, FamilyCare, a provider, or the care provided and receive a timely answer
• file an appeal about a FamilyCare action or decision
• You can request a State Fair Hearing if you are not satisfied with the outcome of your appeal.

You have the responsibility to:

• choose a Primary Care Provider (PCP)
• treat those providing you with healthcare, mental health, alcohol, or other drug services with the same respect and kindness you expect to receive
• keep your appointments and be on time. Call ahead if you must cancel a visit.
• ask your provider questions and listen to input, so you better understand the care and the instructions you are given
• seek regular health exams from your PCP
• use your PCP for diagnostic and other care except in an Emergency
• obtain a referral to a specialist from your PCP before seeing the specialist
• follow the grievance and appeal process if you are unhappy with your care, your provider, or FamilyCare.
• use urgent and emergency services appropriately and notify your PCP within 72 hours
• provide your PCP with accurate information
• help your PCP obtain clinical records from other providers which may include signing a release for information
• take the lead in developing your treatment and/or recovery plan
• tell your provider you are covered under the Oregon Health Plan and to show your OMAP Medical Care ID card
• tell your DHS worker:
  • if your address changes
  • if any family members move in or out of the household
  • if there is other insurance available
  • if you become pregnant
  • when you give birth to the child
• pay for services that are not covered
• pay your monthly premium on time
• help FamilyCare pursue any third party resources and to pay FamilyCare for benefits paid for an injury from any recovery you receive from that injury
• file a Complaint or Grievance if you are unhappy with an action or decision made by FamilyCare or a provider
• sign a release for medical information so that DHS and FamilyCare can get the information needed to respond to an Administrative Hearing request