We collected information about Medicaid Complaints Texas for you. There are links where you can find everything you need to know about Medicaid Complaints Texas.
https://hhs.texas.gov/services/health/medicaid-chip/about-medicaid-chip/medicaid-chip-contact-us
Call the Medicaid client hotline at 800-252-8263 or visit the Managed Care page on our website. To apply for benefits, visit YourTexasBenefits.com. No matter where you live in Texas, you can dial 2-1-1 or 877-541-7905 to find information about resources in your local community. Whether you need help ...
https://hhs.texas.gov/about-hhs/your-rights/office-ombudsman/hhs-ombudsman-managed-care-help
If you get your Medicaid through a health plan or a managed care organization, also called an MCO, and you have questions or complaints, we can help. Our team is designed to help people who are already on Medicaid but need help accessing health care services. A priority is placed on individuals who ...
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.
https://www.aiptexas.org/medicaid-complaints
Medicaid Managed Care Complaints. Complaints for any Medicaid Patients in Managed Care can be submitted by calling (866) 566-8989. If you would like to make your complaint in writing send it to: Texas Health and Human Services Commission Health Plan Operations – H-320 Attention: Resolution Services P.O. Box 85200 Austin, TX 78708-5200
https://www.tdi.texas.gov/consumer/get-help-with-an-insurance-complaint.html
Español . TDI can help you with your insurance complaint against companies, agents, and adjusters. Choose the type of insurance you’re having a problem with to learn more about your options.
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) …
https://oig.hhsc.texas.gov/sites/oig/files/documents/IID-Inspections-Division-Final-MCO%20Complaints-Series%20II-Report-083019.pdf
TEXAS HEALTH AND HUMAN SERVICES COMMISSION OFFICE OF INSPECTOR GENERAL MEMBER COMPLAINTS RECEIVED BY TEXAS MEDICAID MANAGED CARE ORGANIZATIONS Series II - Inspection of Complaint Resolution. August 30, 2019 OIG Report No. INS-19-002
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).
https://oig.hhsc.texas.gov/sites/oig/files/documents/IG-Inspections-Report-MCO-Series-I-3-7-19.pdf
Mar 07, 2019 · Texas Medicaid provides medical care to over 3.5 million members annually through MCOs. States administering Medicaid are federally required, by 42 Code of Federal Regulations (C.F.R.) § 438.16, to ensure MCOs maintain records of all grievances and appeals. C.F.R. also requires states to review the information as part of the state quality ...
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
https://www.statesman.com/news/20180910/texas-providers-managed-care-is-hurting-medicaid-patients-businesses
The complaints were a familiar refrain for the Texas House Committee on Human Services, which has been scrutinizing the oversight of Medicaid managed care organizations. ... "Texas Medicaid ...
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.
https://www.aetnabetterhealth.com/texas/providers/complaints
Download and access Texas Medicaid and CHIP provider complaint or appeal forms from Aetna Better Health Texas today. View other provider resources online.
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).
https://apps.hhs.texas.gov/LTCSearch/
The LTC Provider Search includes information about 2 types of long-term care providers: ... Texas Home Living; ... and if it accepts Medicaid. Complaints & Investigations. HHSC investigates all complaints about resident health and safety that are reported by residents, family members, employees or others. The speed with which complaint ...
https://www.myamerigroup.com/tx/benefits/complaints-appeals.html
Amerigroup members in the Medicaid Rural Service Area and the STAR Kids program are served by Amerigroup Insurance Company; all other Amerigroup members in Texas are served by Amerigroup Texas, Inc. Use our Report Waste, Fraud or Abuse form to tell us if you suspect waste, fraud or abuse of services we paid for.
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.
http://tmhp.com/Pages/TMHP/TMHP_fraud.aspx
The Texas Health and Human Services Commission Inspector General (IG) is responsible for investigating Medicaid waste, abuse, and fraud in Texas health and human services programs. To report suspected Medicaid fraud or abuse, please contact the IG Integrity Line at 1-800-436-6184 or visit their website at https://oig.hhsc.texas.gov.
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) offers health coverage to children.
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 ...
Searching for Medicaid Complaints Texas information?
To find needed information please click on the links to visit sites with more detailed data.
