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Chronic Care/Disease Management Patient Bill of Rights and Responsibilities

When you participate in a Chronic Care/Disease Management (DM) program, you have certain rights and responsibilities.

You have the right to:

  • Know the philosophy and characteristics of the DM program.
  • Have personally identifiable health information shared by the DM program only in accordance with state and federal law.
  • Know the identity and job title of staff members and speak with a supervisor upon request.
  • Receive accurate information from the DM program.
  • Receive DM program information based on individual needs and preferences.
  • Receive administrative information regarding changes in or termination of the DM program.
  • Decline participation, revoke consent, disenroll, or submit a complaint at any point in time.

You have the responsibility to:

  • Submit any forms that are necessary to participate in the DM program to the extent required by law.
  • Give accurate clinical and contact information and notify the DM program of changes in this information.
  • Follow an agreed upon plan to address targeted clinical conditions, comorbidities and risk factors.
  • Notify your treating provider of your participation in the DM program.
  • Provide input on experiences, care and services related to the DM program.