Report caregiver wrong actions

You have rights when in the care of a paid caregiver.

Tell us right away if you think a caregiver has hurt or harmed you or another Highmark Health Options Duals member.

ICON

Report a critical incident

Call us Monday–Friday, 8 a.m. - 5 p.m.

Duals Member Services: 1-855-401-8251 (TTY: 711)

Member Services: 1-844-722-5837 (TTY 711)

Actions to report 

There are many kinds of wrong actions that harm both adults and children. These actions are critical incidents. 

Denying basic needs

Basic needs are the things we need to live day-to-day, like:

  • Food
  • Medicine
  • Personal care items

Physical harm

Physical harm may include:

  • Causing a severe injury, like a broken bone, deep cut or serious burn
  • Forcing or tricking a member into sexual activity
  • Leaving a member unsupervised

Mental harm

Actions like these may cause mental harm:

  • Injuring a member
  • Causing emotional distress
  • Yelling at a member

Financial harm

Financial harm may be caused by:

  • Stealing a member’s money or medicine
  • Using a member’s checkbook, debit card or credit card without permission
  • Refusing to do the job

As a reminder, these are examples. If something happens that doesn’t seem right, it could be a critical incident. Wrong actions are critical incidents. 

We’re here for you 

Call us Monday-Friday, 8 a.m. - 5 p.m.

Duals Member Services: 1-855-401-8251 (TTY: 711)

Member Services: 1-844-722-5837 (TTY 711)

Check your Medicare D-SNP benefits documents or Medicaid or WVCHIP Member Handbook  

To find an in-network provider, search your Medicare D-SNP Provider Directory or Medicaid Provider Directory.