Member Rights and Responsibilities

Tejas promotes effective behavioral healthcare services and member satisfaction to reflect the dignity, worth and privacy needs of each individual. Tejas will utilize its full professional expertise to assure protection of members’ rights and responsibilities. Behavioral health services providers will support the Tejas standards of care, which ensure that members have the right to relief from distress in the shortest possible time with the least intrusion into their lives.

Members’ Rights Policy

1. Members have the right to be treated with dignity and respect.

2. Members have the right to impartial services and access to treatment, regardless of race, religion, gender, ethnicity, age, disability, or source of payment.

3. Members will be assured that all member information is kept confidential.

4. Information will not be released without their prior consent, except in an emergency, or as required by law.

5. Members have the right to be treated by staff/providers who communicate, or arrange for communication, in a language and format they understand.

6. Members have the right to be provided with a complete, easily understood explanation of their condition and treatment.

7. Members have the right to receive information about Tejas’s services and role in the treatment process.

8. Members have the right to be informed of all treatment options regardless of the cost or benefit coverage.

9. Members have the right to receive information on availability of providers and the clinical guidelines used in providing and/or managing their care.

10. Members have the right to provide input on policies, services and their right and responsibilities offered by Tejas.

11. Members will be informed of the complaint, grievance and appeal processes should a dispute arise over treatment and/or claims.

12. Members will be afforded all of his/her rights and privileges guaranteed by state and federal laws.

13. Members have the right to be informed of their rights and responsibilities in the treatment process.

14. Members have the right to participate with providers in decision making regarding their treatment planning.

Members’ Responsibilities Policy

1. Members have a responsibility to provide information that Tejas providers need in order to deliver appropriate care.

2. Members have an ongoing responsibility to inform their provider when the treatment plan no longer meets their needs.

3. Members have a responsibility to follow their medication plan, to inform their provider of any medication changes, including medications prescribed for any reason by other providers.

4. Members have a responsibility to treat those giving them care with dignity and respect.

5. Members have a responsibility to avoid actions or threats which endanger the lives of Integrated Metal Health employees, providers, and other members

6. Members are required to keep appointments or notify the provider as soon as possible regarding a missed appointment.

7. Members have a responsibility to ask questions of their providers so they understand their care and any instructions given.

8. Members have a responsibility to discuss any difficulty with fee payments with their provider.

9. Members have a responsibility to partner in the development and implementation of their treatment plan.