Texas Medicaid Complaints

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Medicaid and CHIP - Contact Us Texas Health and Human ...

    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 ...

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.

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.

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) …

MEMBER COMPLAINTS RECEIVED BY TEXAS MEDICAID …

    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

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.

Provider Complaints

    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.

MEMBER COMPLAINTS RECEIVED BY TEXAS MEDICAID …

    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 ...

Medicaid Managed Care Complaints - AIP-Texas

    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

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

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.

Texas State Dental Plans Member Information - DentaQuest

    http://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).

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.

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.

Texas CMS - Centers for Medicare and Medicaid Services

    https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/Texas
    Texas Dual Eligible Integrated Care Demonstration Project Model. On May 23, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Texas partnered with CMS to test a new model for providing Medicare-Medicaid enrollees with a …

Texas Medical Board

    http://www.tmb.state.tx.us/page/look-up-a-license
    Search our databases for license and permit information on physicians, physician assistants, acupuncturists, medical radiological technologists, non-certified radiologic technicians, respiratory care practitioners, medical physicists, and perfusionists licensed by the State of Texas.

Texas providers: Managed care is hurting Medicaid patients ...

    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 ...

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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