Find Care in Your Area
Get Help
Become a Member
Members
Announcements
Member Handbook and Benefits
Member Forms
Medicaid for Children
Addiction and Substance Use Disorder Resource Center
Pharmacy Information
Medicaid for Adults
Medicaid for Long-term Services and Supports
Member Rights and Responsibilities
Health Awareness Series
Appeals and Grievances
Join the Member Advisory Council
Virtual Visits with HHO on the Go
Your Medical Record
Health and Wellness
Report Wrong Actions
New Benefits for Adults
Providers
Clinical Practice Guidelines
Claims and Medical Policies
Claims and Payment Policies
Medical Policies
Medication Information
Provider Manual and Resources
Forms and Reference Material
EPSDT
Critical Incidents
Transition and Continuity of Care
Culturally Competent Care
COVID-19 Resources
Quarterly Newsletters
Announcements
Updates and Notices
Contact Provider Services
Medical Record Standards
COVID-19
Fraud, Waste, and Abuse
Report Fraud, Waste, and Abuse
What is Fraud, Waste, and Abuse?
search
LOGIN
search
close
Menu
close
Home
Become a Member
Members
close
Back
Members
Announcements
Member Handbook and Benefits
close
Back
Member Handbook and Benefits
Member Forms
LOGIN
Medicaid for Children
Addiction and Substance Use Disorder Resource Center
Pharmacy Information
Medicaid for Adults
Medicaid for LTSS
Member Rights and Responsibilities
Health Awareness Series
Appeals and Grievances
Join the Member Advisory Council
HHO on the Go
See Your Medical Record Online
Health and Wellness
Report Wrong Actions
New Benefits for Adults
LOGIN
Providers
close
Back
Providers
Clinical Practice Guidelines
Claims and Medical Policies
close
Back
Claims and Medical Policies
Claims and Payment Policies
Medical Policies
close
Back
Medical Policies
A–C
D–F
G–I
J–L
M–O
P–R
S–V
W–Z
LOGIN
LOGIN
Medication Information
Provider Manual and Resources
close
Back
Provider Manual and Resources
Forms and Reference Material
EPSDT
Critical Incidents
Transition and Continuity of Care
Culturally Competent Care
COVID-19 Resources
LOGIN
Quarterly Newsletters
Announcements
Updates and Notices
Contact Provider Services
Medical Record Standards
LOGIN
Fraud, Waste, and Abuse
close
Back
Fraud, Waste, and Abuse
Report Fraud, Waste, and Abuse
What is Fraud, Waste, and Abuse?
LOGIN
Contact
close
Back
Contact
Member Contact
LOGIN
Help in Your Language
Get Care in Your Area
COVID-19
LOGIN
Home
arrow_forward_ios
Members
Report Wrong Actions
Home
Members
Report Wrong Actions
Report Caregivers for Wrong Actions
Remember your rights when you or another Highmark Health Options member is in the care of a paid caregiver.
Has a caregiver done something wrong to hurt a child, adult, or older adult?
Have they caused physical, mental, or financial harm?
Tell us right away if you think a caregiver has done something wrong, such as:
Caused a severe injury. This includes a broken bone, deep cut, or serious burn.
Denied a member’s basic needs. This includes food, medicine, personal care items, and supervision.
Forced or tricked a member into sexual activity.
Injured a member or caused emotional distress.
Stolen a member’s money or medicine.
Used a member’s checkbook, debit card, or credit card without permission.
Was unprofessional. This includes yelling at a member or refusing to do their job.
These wrong actions are called
critical incidents
.
Report a critical incident.
Call Member Services at
1-844-325-6251
(TTY: 711 or 1-800-232-5460), Monday-Friday, 8 a.m. to 8 p.m.