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Your RightsYour Rights and Responsibilities Advance Directives Grievances Appeals Your Rights and Responsibilities The Massachusetts Behavioral Health Partnership (MBHP) is committed to making sure that all Members know about their rights and responsibilities and understand that they have the right to file grievances and appeals. To view your rights and responsibilities as an MBHP Member, click on the link below: Rights and Responsibilities Statement Advance Directives If you can't make healthcare decisions for yourself, or you can't communicate because you're sick or injured, you have the right to fill out a legal document called a Health Care Proxy and pick someone to be your "agent." The agent should be someone close to you who knows your wishes and will act on your behalf. The Massachusetts Health Care Proxy Law allows every competent adult, 18 years of age or older, to choose a healthcare agent. However, the agent cannot be someone who works at or is connected to a facility in which you are a patient or resident, unless the agent is related to you by blood, marriage, or adoption. Your agent will have the authority to make healthcare decisions on your behalf and can consent to or refuse treatment, including life-sustaining treatment. Your agent's decisions will be based on how he or she understands your wishes, including your religious or moral beliefs. If your agent does not know your wishes, your agent will make decisions for you based on what he or she thinks is in your best interest. It is important for you to discuss your wishes with your agent. Your medical providers will provide your agent with any medical information necessary to make informed decisions regarding your healthcare. In order to legally designate an agent to act on your behalf, you will need to complete and sign a Health Care Proxy and give a copy to your agent and to your doctor. Your doctor will put it in your medical record. The Health Care Proxy must meet the following requirements:
2) Grant authority to the agent to make healthcare decisions on your behalf; 3) Describe any limitations to this authority; and 4) State that the agent's authority becomes effective only if you cannot make healthcare decisions for yourself, as indicated by your doctor in writing. You have the right to file a complaint with MassHealth if you or your agent believe that your provider is not treating you according to the terms of your advance directive. To file the complaint, call MassHealth Customer Service Center at 1-800-841-2900 (TTY: 1-800-497-4648 for people who have trouble hearing). Grievances As a Member, you have the right to file a grievance (i.e., complaint) with MBHP if you are not happy with any aspect of MBHP's services or your healthcare provider's services. For example, you may file a grievance if you feel:
1-800-495-0086 (press 1 for the English menu or 2 for the Spanish menu, then press 4 then 2 to skip prompts) or TTY: 1-800-509-6981. A staff member will review your problem with you and see what can be done about it. If the staff member is unable to resolve your problem promptly, or within 30 days at the most, then we will talk with you about the options for resolving your problem. Our decisions about grievances are final; there are no additional levels of appeal. If you want to send us a written grievance, write us at: Quality Management Department Massachusetts Behavioral Health Partnership 100 High Street, 3rd Floor Boston, MA 02110 Appeals You can file an appeal if you think that MBHP made a decision that denied or changed the treatment that you needed. You can also file an appeal if MBHP chose not to pay your healthcare provider for a service that the provider felt was necessary. If you don't agree with MBHP's decision about your treatment or the payment for your treatment, you or your representative have 90 days after the decision has been made to file an appeal. If you want us to continue to pay for a service you are currently receiving, you must file an appeal within 10 calendar days. MBHP Internal Appeal Process |
 
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MBHP - Massachusetts Behavioral Health Partnership
100 High Street 3rd Floor, Boston, MA 02110 : 1-800-495-0086
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