
For Patients
Policies & Forms
- Member HandbookDownload PDF
Member Handbook
- Authorized Representative Designation FormDownload PDF
You can submit this form if you would like to designate an authorized representative to act on your behalf.
Descargar PDF en español. - Care Needs Screening (Ages 0-10)Download PDF
For Parents & Guardians of Children Ages 0 to 10 Years Old
- Care Needs Screening (Ages 11-17)Download PDF
For Parents & Guardians of Children Ages 11 to 17 Years Old
- Care Needs Screening (Ages 18 and Older)Download PDF
For Adults 18 and Older
- View Page
- Health-Related Social Needs Screening ToolView Page
Your answers to these questions will help Bookmark Care Network connect you to services available through your insurance at no cost to you.
- Healthy Beginnings ProgramView Page
As a Bookmark Care Network member, you have Extra Benefits like our Healthy Beginnings Program. We are here to support you and your family during pregnancy, birth, and beyond.
- MassHealth’s Community PartnersDownload PDF
Has your provider or care manager talked with you about MassHealth’s Community Partners program? These services are provided to you at no cost. Bring this form to your provider to fill out.
- View Page
- Member GrievancesDownload PDF
It is the policy of RHG Medicaid Network, LLC, and its parent organization, Bookmark Medical, to implement an effective system to address concerns related to members’ care and experience. To read the complete policy, download the PDF provided.
- Download PDF