Complaints Against Texas Medicaid

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How Do I Make a Complaint about an HHS ... - hhs.texas.gov

    https://hhs.texas.gov/about-hhs/your-rights/complaint-incident-intake/how-do-i-make-a-complaint-about-hhs-service-provider
    If you think a provider that is licensed or certified by Texas Health and Human Services has broken the rules, let us know. Complaints can come from anyone — the person affected, family members, health care providers, advocates, police or other state agencies. ... To make a complaint against nursing homes, assisted living facilities ...

HHS Ombudsman - Complaint Process Texas Health and Human ...

    https://hhs.texas.gov/about-hhs/your-rights/office-ombudsman/hhs-ombudsman-complaint-process
    The Office of the Ombudsman assists when a program's complaint process cannot or does not satisfactorily resolve the issue. If you have a problem or complaint, we encourage you to first discuss it with the person, program or office involved. Many times they can explain a specific policy or correct ...

How to file a complaint (grievance) Medicare

    https://www.medicare.gov/claims-appeals/how-to-file-a-complaint-grievance
    Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling.

Filing complaints about a doctor, hospital, or provider ...

    https://www.medicare.gov/claims-appeals/file-a-complaint/filing-complaints-about-a-doctor-hospital-or-provider
    Filing complaints about a doctor, hospital, or provider Improper care or unsafe conditions You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns).

Physician/Provider Information and Advice for Physicians ...

    https://tdi.texas.gov/hprovider/doctors3.html
    Where to file Medicare, Medicaid, and other health plan complaints Children's Health Insurance Program (CHIP) Complaints involving CHIP health maintenance organizations (HMOs) claims issues should be directed to the: Texas Department of Insurance Consumer Protection (111-1A) …

Texas Medical Board

    http://www.tmb.state.tx.us/page/place-a-complaint
    The Board investigates complaints against physicians, physician assistants, acupuncturists, surgical assistants, respiratory care practitioners, medical radiologic technologists, medical physicists, and perfusionists. If you wish to complain to the Board, please do so in writing. Provide full name and practice address of practitioner.

Health insurance complaints - tdi.texas.gov

    https://www.tdi.texas.gov/consumer/health-complaints.html
    We can help with issues involving insurance companies and health plans and people we regulate. We don’t regulate most health plans. You may need to complain to a different agency. To find out if we’re the right agency to complain to, look at your health plan ID card.

Medicaid Complaints: How to File Complaints to Medicaid ...

    https://medicare-medicaid.com/medicare/medicaid-complaints-how-to-file-complaints-to-medicaid/
    Basically, this is the way to file complaints about Medicaid. With it, you will be able to protect your rights as a person and also as an individual covered by Medicaid. Always remember that you have every right to complain with Medicaid in case you are not satisfied or didn’t get the treatment you need.

A Guide on How to Submit Provider Complaints to Texas ...

    https://connect.tahch.org/blogs/jr-top/2017/06/22/a-guide-on-how-to-submit-provider-complaints-to-texas-health-and-human-services
    Jun 22, 2017 · Filing a Provider Complaint with Texas Health and Human Services Providers can file complaints or inquiries with HHS Health Plan Management (HPM) for ... A Guide on How to Submit Provider Complaints to Texas Health and Human Services. ... A request for information directed to HHSC from a Medicaid stakeholder, including a Medicaid member, a ...

Member Complaint Form - Health Insurance Texas

    https://www.bcbstx.com/pdf/medicaid/medicaid-complaint-form-tx.pdf
    Member Complaint Form . Instructions: Please fill out this form and attach any papers that support this request. Mail to: Blue Cross and Blue Shield of Texas (BCBSTX) C/O Complaints and Appeals Department . P.O. Box 660717 . Dallas, TX 75266 . You also may file a complaint by phone. Just call the phone number printed on your BCBSTX ID card.

Texas State Dental Plans Member Information - DentaQuest

    https://www.dentaquest.com/state-plans/regions/texas/members/medicaid-complaints-and-appeals/
    TX Medicaid Complaint Form DentaQuest Member Services Advocate can help you file a complaint. Most of the time, we can help you right away or within a few days. If you still have a complaint after you’ve gone through the DentaQuest complaint process, call the Texas Health and Human Services Commission (HHSC) at 1-800-252-8263 (toll-free).

CPD Transitioning Programs - Texas Department of State ...

    https://dshs.texas.gov/facilities/complaints.aspx
    Aug 20, 2019 · The Department of State Health Services maintains this web page, but the 84th Legislature made structural changes to the Health and Human Services system including transitioning the below DSHS functions to the Texas Medical Board (TMB), the Texas Department of Licensing and Regulation (TDLR), and the Health and Human Services Commission (HHSC).

Welcome to TMHP

    http://www.tmhp.com/
    Welcome to the Texas Medicaid & Healthcare Partnership (TMHP) website. TMHP is a group of contractors under the leadership of Accenture. Accenture administers Texas Medicaid and other state health-care programs on behalf of the Texas Health and Human Services Commission.

How to Apply for Medicaid and CHIP USAGov

    https://www.usa.gov/medicaid
    How to Apply for Medicaid and CHIP. Medicaid is a federal and state health insurance program for people with a low income. The Children’s Health Insurance Program (CHIP) …

Complaints and Appeals Texas Medicaid Superior HealthPlan

    https://www.superiorhealthplan.com/members/medicaid/resources/complaints-appeals.html
    Complaints may be made by calling Superior Member Services at the number on the back of your ID card (Relay Texas 1-800-735-2989). A complaint acknowledgement letter will be sent to you within five (5) days. Written complaints can be sent on paper or electronically. To file your complaint, send to: Superior HealthPlan Complaints Department

Texas Medical Board

    http://www.tmb.state.tx.us/page/complaints
    Anyone may register a complaint against a practitioner licensed by the Board. Complaints must be submitted in writing. The identity of complainants is protected and kept confidential by law, with the exception of complaints filed by insurance and pharmaceutical companies. The Board cannot accept complaints submitted anonymously.

Complaints and Appeals Molina Healthcare Texas

    http://www.molinahealthcare.com/members/tx/en-US/mem/marketplace/quality/Pages/gna.aspx
    Molina Healthcare of Texas Attn: Member Complaints & Appeals P.O. Box 165089 Irving, TX 75016 Member Grievance/Appeal Request Form. Molina Healthcare recognizes the fact that Members may not always be satisfied with the care and services provided by …

Provider Complaints and Appeals Texas Children's Health Plan

    https://www.texaschildrenshealthplan.org/for-providers/provider-resources/complaints-and-appeals
    Provider Complaints Process to HMO. As a STAR health plan, it is the policy of Texas Children’s Health Plan to adhere to State Medicaid Provider Guidelines as defined in the current edition of the Texas Medicaid Provider Procedures Manual.

Medicare Beneficiary Ombudsman (MBO) CMS

    https://www.cms.gov/Center/Special-Topic/Ombudsman/Medicare-Beneficiary-Ombudsman-Home
    Helping to resolve your inquiry or complaint The MBO helps you with Medicare-related complaints, grievances, and information requests. The MBO makes sure you have information related to your Medicare rights and protections and how you can get your concerns resolved. On this page: About the MBO Beneficiary Rights and Protections Beneficiaries: What to do if you have an inquiry or complaint ...

Reporting Concerns or Complaints

    http://dhhs.ne.gov/Pages/complaints.aspx
    DHHS is responsible for investigating complaints against professionals in healthcare professions and occupations. Long-Term Care Ombudsman (402) 471-9345 An advocate for the rights and well-being of nursing home and assisted-living facility residents. Medicaid provider fraud



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