Ny Medicaid Complaints

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Complaints and Appeals - Managed Care - New York State ...

    https://www.health.ny.gov/health_care/managed_care/complaints/index.htm
    12 rows · Complaints and Appeals. Managed Long–Term Care; External Appeals; Managed Care Bill of Rights; Contact Your Plan. If you are dissatisfied with your plan or any of its employees, providers, or contractors, or your plan´s services, determination of benefits, or the health care treatment received through the plan, you can file a complaint or grievance with your plan.

Medicaid Managed Care Complaints Overview - omh.ny.gov

    http://omh.ny.gov/omhweb/bho/complaints.html
    All questions or complaints regarding Behavioral Health Medicaid Managed Care should be submitted to the OMH Division of Managed Care using the OMH MC Question/Complaint Form.This ensures all questions or complaints submitted can be reviewed and responded to by appropriate staff within OMH and/or the Department of Health.

If You Have a Complaint about MLTC - New York State ...

    https://www.health.ny.gov/health_care/managed_care/mltc/mltcomplaint.htm
    If you Have a Complaint about MLTC You Can Contact Your Plan. Your managed long-term care (MLTC) plan will try its best to deal with your concerns or issues as quickly as possible and to your satisfaction. You may use either the plan's grievance process or its appeal process, depending on what kind of problem you have.

File A Complaint: Your Right If You Receive Medicaid NY ...

    http://nyconsumerhealth.org/file-a-complaint-your-right-if-you-receive-medicaid
    File A Complaint: Your Right If You Receive Medicaid . Your Right if you Receive Medicaid. New York State law requires many people who receive Medicaid to enroll in an MCO. In some areas of the state, people on Medicaid will be required to join MCOs. ... Also, MCOs can not discriminate against you for filing complaints or grievances.

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.

New York State Department of Health: Complaints

    https://profiles.health.ny.gov/home_care/pages/complaints
    The New York State Department of Health, Division of Home and Community Based Care is responsible for investigating complaints and incidents for home care agencies and hospices in New York State. The federally mandated Home Health Hotline (1-800-628-5972) can …

Information Line OPWDD

    https://opwdd.ny.gov/opwdd_contacts/information_line/home
    OPWDD’s Information Line is designed to help people get answers to questions about supports and services for individuals with developmental disabilities in New York State. It is also used to take complaints of alleged misconduct, fraud, waste and abuse in our service system.

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) offers health coverage to children.

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 a Consumer Complaint New York State Attorney General

    https://ag.ny.gov/consumer-frauds/Filing-a-Consumer-Complaint
    Filing a Consumer Complaint . General Consumer Complaint Form. ... New York City Office 28 Liberty Street New York, NY 10005 (212) 416-8300 NYC Complaint Form ... We need complaints in writing and on our complaint form. For consumer complaints, we encourage you to try to resolve the dispute with the company or individual before filing a ...

Complaints about New York State Hospitals and Diagnostic ...

    https://apps.health.ny.gov/surveyd8/facility-complaint-form
    The New York State Department of Health is responsible for the ongoing surveillance and investigation of complaints related to the care provided by hospitals and diagnostic and treatment centers, including ambulatory surgical centers, dialysis centers, and primary care clinics in New York State.

Medicaid Fraud Control Unit New York State Attorney General

    https://ag.ny.gov/bureau/medicaid-fraud-control-unit
    Medicaid Fraud Control Unit The MFCU, the largest unit within the Attorney General’s Criminal Division, is the centerpiece of New York’s effort to investigate, penalize, and prosecute individuals and companies responsible for improper or fraudulent Medicaid billing schemes.

Front Page Office of the Medicaid Inspector General

    https://omig.ny.gov/
    A New York City pharmacy owner and three of her managers were arrested July 19 following an OMIG-assisted investigation for their alleged participation in a multi-million-dollar Medicaid fraud scheme involving kickbacks and HIV prescription drugs. Irina Pichkhadze, 34, of Queens, NY, the Owner of First Choice Pharmacy in… Read More

P & P Medicaid Consulting, Inc. Better Business Bureau ...

    https://www.bbb.org/us/ny/massapequa-park/profile/senior-services/p-p-medicaid-consulting-inc-0121-87612
    This organization is not BBB accredited. Senior Services in Massapequa Park, NY. See BBB rating, reviews, complaints, & more.

File an External Appeal Department of Financial Services

    https://www.dfs.ny.gov/complaints/file_external_appeal
    Online submissions are preferred, but if you choose you may instead complete the fillable PDF form below, and send it by email to [email protected], by fax to (800) 332-2729 or by certified/registered mail to Department of Financial Services, 99 Washington Avenue, Box 177, Albany, NY 12210. New York State External Appeal Application (Fillable PDF)

News10NBC Investigates: Complaints filed with NYS after ...

    https://www.whec.com/livingston-county-ny-news/nursing-home-lawsuits-new-york-medicaid/5644325/
    Now we can show you the official complaints to the state prompted, in part, by our stories. ... He also filed a complaint with the New York State Attorney General's Medicaid fraud unit.Author: Berkeley Brean

New York State Department of Health: Complaints

    https://profiles.health.ny.gov/nursing_home/pages/complaints
    The New York State Department of Health, Nursing Home and ICF/MR Surveillance is responsible for investigating complaints and incidents for nursing homes in New York State that are related to a State and/or Federal regulatory violation. A complaint against a …

NC Medicaid: Medicaid Fraud and Abuse Confidential ...

    https://medicaid.ncdhhs.gov/reportfraud
    You are encouraged to report matters involving Medicaid fraud and program abuse. If you want to report fraud or program abuse, you may remain anonymous. All complaints of misconduct are kept confidential and are protected from disclosure according to the North Carolina State Administrative Procedure Act, Sections 10A NCAC 21A.0403. DMA Program Integrity will not reveal the identity of the ...

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).



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