You can find a complete list of member rights and responsibilities in the Oregon Health Plan Client Handbook. To obtain a copy click here, or to request the booklet in English or other language, large print, Braille, on tape or another format contact member services at Capitol Dental Care or the State by calling 1-800-359-9517 or TTY 1-800-621-5260.
Right to Receive Services without Discrimination
You have the right to be free from discrimination on the basis of race, color, national origin, age, disability, or sex.
Right to Privacy
You have the right to maintain the privacy of your personal health information and to receive a notice about our privacy practices, our legal duties and your rights concerning your protected health information.
Right to Complain – File a Complaint
A complaint is dissatisfaction with any matter such as staff rudeness or receipt of poor services. You have the right to file a complaint with Capitol Dental Care in writing or by telephone.
Right to File an Appeal
If you receive a letter (Notice of Action) denying services and you disagree with the decision, you may file an appeal with Capitol Dental Care. You must start you appeal by calling or in writing within 60 days of the date of the letter. If you call, you will have to follow up with a written, signed appeal. Written appeal and administrative hearing requests can be mailed, faxed, or emailed to CDC or your local DHS branch office.
You must complete Capitol Dental Care’s appeal process before you can request a hearing from OMAP. A Hearing and Appeal request form is available here.
Transitioning your care, when you make a change
Capitol Dental Care is committed to the smooth transition of care for its members. Transition of care occurs when a member is immediately enrolled with a coordinated care organization (CCO) after having been disenrolled from another CCO or from Medicaid fee-for-service (FFS), according to OAR 410-141- 3061. If you find you are interested in reviewing our policy regarding the Transition of Care, please click on the link here.