Medicaid Complaints Georgia

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HFR File a Complaint Georgia Department of Community Health

    https://dch.georgia.gov/divisionsoffices/healthcare-facility-regulation/facility-licensure/hfr-file-complaint
    Medicaid State Health Benefit Plan (SHBP) PeachCare for Kids Indigent Care Trust Fund Georgia Palliative Care and Quality of Life Council Georgia Council on Lupus Education and Awareness Rural Hospital Tax Credit Home and Community Based Services (HCBS)

File a Complaint Georgia Department of Community Health

    https://dch.georgia.gov/programs/peachcare-kids/file-complaint
    Medicaid State Health Benefit Plan (SHBP) PeachCare for Kids Indigent Care Trust Fund Georgia Palliative Care and Quality of Life Council Georgia Council on Lupus Education and Awareness Rural Hospital Tax Credit Home and Community Based Services (HCBS)

Contact Georgia Medicaid Georgia Medicaid

    https://medicaid.georgia.gov/contact-georgia-medicaid
    Medicaid is a medical assistance program that provides low-income families with access to free and low-cost medical care. The Department of Community Health also administers the PeachCare for Kids® program, a comprehensive health care program for uninsured children living in Georgia.

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.

Non-Emergency Medical Transportation Georgia Medicaid

    https://medicaid.georgia.gov/programs/all-programs/non-emergency-medical-transportation
    In order for the Georgia Department of Community Health (DCH) to achieve its mission of providing access to affordable, quality health care services for Medicaid members, these members must be able to get to and from their medically necessary appointments.

Complaints and Appeals Peach State Health Plan

    https://www.pshpgeorgia.com/members/medicaid/resources/complaints-appeals.html
    Georgia Families® Medicaid; ... Grievance and Appeals. Filing an Appeal. There may be times when Peach State Health Plan will not pay for services that have been recommended by your doctor. If we do this, a letter will be mailed to you and your provider for services that are not approved. This letter is called an Adverse Benefit Determination ...

Provider Complaints Georgia – Medicaid CareSource

    https://www.caresource.com/ga/providers/provider-portal/provider-grievance/medicaid/
    CareSource® will thoroughly investigate each provider complaint using applicable statutory, regulatory and contractual provisions, collecting all pertinent facts from all parties and applying the CareSource written policies and procedures. Providers are permitted to submit complaints to CareSource regarding CareSource’s policies, procedures or any aspect of CareSource’s administrative ...

File a Complaint CMS

    https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/Enforcements/FileaComplaint
    To file an Administrative Simplification HIPAA-related paper complaint rather than an electronic one, please complete the OMB approved form 0938-0948 (PDF) and return to the Centers for Medicare and Medicaid Services (CMS) with any related supporting documentation.

Florida Medicaid Complaints

    http://ahca.myflorida.com/Medicaid/complaints/
    Medicaid Helpline staff can also help you check on the status of a complaint submission. If your complaint is regarding Medicaid eligibility or the application process, please contact the Department of Children and Families ACCESS Program. All complaints submitted to the Agency are:

Georgia Medicaid Provider Complaint Form - WellCare

    https://wellcare.com/~/media/PDFs/Georgia/Provider/Medicaid/2009/ga_caid_prov_complaint_form_eng_2009.ashx
    documentation to support the complaint(s) to WellCare of Georgia, Inc. Attn: Grievance Department, P.O. Box 31384 Tampa, FL 33631-3384. Your request will be processed once all necessary documentation is received and you will be notified of the outcome. *Failure to submit supporting documentation may delay our response to your complaint.

Georgia Families

    https://www.georgia-families.com/GASelfService/en_US/home.htm
    Georgia Families gives you choices for your health care! Choose a health plan and a Primary Care Provider for each member in your family who is in Medicaid or PeachCare for Kids ®. As soon as you become a member of Medicaid or PeachCare for Kids ® you will be enrolled into a health plan. If you do not want the health plan we chose for you ...

Filing an Appeal Georgia Medicaid Peach State Health Plan

    https://www.pshpgeorgia.com/members/medicaid/resources/complaints-appeals/filing-appeal.html
    Georgia Families® Medicaid; ... Medicaid. There may be times when Peach State Health Plan will not pay for services that have been recommended by your doctor. If we do this, a letter will be mailed to you and your provider for services that are not approved. This letter is called a notice of Adverse Benefit Determination letter (formally known ...

Contact Form Georgia Department of Human Services

    https://dhs.georgia.gov/contact-form
    The Department of Human Services (DHS) includes the Division of Aging Services, Division of Child Support Services. DHS ensures that persons, advocates, and all other parties who seek to or are receiving services from DHS may file complaints, comments/suggestions, commendations and requests for general information.

Medicaid Fraud Control Unit FAQ - Georgia

    https://law.georgia.gov/medicaid-fraud-control-unit
    The mission of the Georgia Medicaid Fraud Control Unit (MFCU) is to serve the public, to uphold and enforce the law, to investigate and prosecute fraud and abuse by providers in the Georgia Medicaid program and to protect vulnerable patients from abuse.

Medicare.gov – the Official Government Site for Medicare ...

    https://www.medicare.gov/MedicareComplaintForm/home.aspx
    Submit feedback or complaints about your Medicare health plan or prescription drug plan directly to Medicare using this form. ... The Centers for Medicare & Medicaid Services values your feedback and will use it to continue to improve the quality of the Medicare program. If you have any other feedback or concerns, or if this is an urgent matter ...

Georgia Composite Medical Board

    https://medicalboard.georgia.gov/
    The Georgia Composite Medical Board is the agency that licenses physicians, physician assistants, respiratory care professionals, perfusionists, acupuncturists, orthotists, prosthetists, auricular (ear) detoxification specialists, genetic counselors, cosmetic laser practitioners and pain management clinics.

Provider Complaint - Ohio Medicaid

    https://medicaid.ohio.gov/Provider/ManagedCare/ProviderComplaint
    All providers must follow the grievance and appeal procedures outlined in their contracts with the Medicaid Managed Care or MyCare Ohio Plans. The Ohio Department of Medicaid cannot intervene in contractual disputes between a provider and a Medicaid Managed Care or MyCare Ohio Plan.

Contact Us Georgia – Medicaid CareSource

    https://www.caresource.com/ga/members/contact-us/medicaid/
    CareSource knows that health care can be confusing. We strive to make it easy for doctors, members and the community to work with us, whether online or over the phone. That's health care with heart! Online Self-Help Tools Need to find a new doctor or see if your prescription medicine is covered by CareSource? Need to request a new ID card or access claim information?

Contact Us Medicaid.gov

    https://www.medicaid.gov/about-us/contact-us/index.html
    The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs.

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 ...



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