Customer Relations More by Manuela Tobias. To contact your agency, find and connect to your countys website using our map tool. Long-Term Care Ombudsman - CALA district office. Here are some signs that an older adult or an adult with a disability might be experiencing, or at increased risk of experiencing abuse: These sites provide good information on how to avoid identify theft and financial scams: Contact Adult Protective Services (APS) at 1-833-401-0832 and when prompted enter your 5-digit zip code to be connected to the APS office in your county, 7 days a week, 24 hours a day. Child support services required by federal or state law, regulation or department letter have not been provided within a reasonable time, or in the manner required by law, Incorrect calculation of the amount of arrears owed. You may also file your complaint on-line through Cal Health Find by searching for the facility and selecting 'File a Complaint'. Please only submit one form or one phone call per concern/issue. California Ombudsman - Locate 1-877-846-1602. Eldercare Locator. She recommends documenting problems and maintenance requests, and keeping communication in writing. California Department of Insurance. Find information to help access mental health services. What can I file a complaint about? If you would like to file a complaint against any of the groups listed, please file a complaint below and select the correct complaint type. Complaint Referral Table | State of California - Department of Justice We are experiencing technical difficulties. Contact the Ombudsman's Office - Office of the Ombudsman - CDCR If you have an issue with your account, a Covered California representative can escalate your case to a specialized group for assistance. Additional help is available to Medi-Cal beneficiaries in a managed care plan. Customer Support - California DMV 40,178 complaints. File a Complaint - The Department of Financial Protection and An incident or reference number provided by the service center. Your eligibility notice explains the programs you are eligible for and the programs for which you do not qualify. Your plan must take action within 30 days after it gets your grievance form. You can reach the Medi-Cal Managed Care Ombudsman at 1-888-452-8609. The California DEPARTMENT OF AGING, LONG-TERM CARE OMBUDSMAN PROGRAM (LTCOP) The primary responsibility of the LTCOP is to investigate and endeavor to resolve complaints made by, or on behalf of, individual residents in long-term care facilities. If your Medicare prescription drug plan does not cover a drug you need: If you are receiving one of these services and it is ending too soon, call Livanta at 1-877-588-1123. If you are still not satisfied with the service that youre receiving after speaking with the Ombudsperson, you have the right to file a complaint through the Complaint Resolution Program. Get more information on how to file an appeal, See the full list of reasons for filing an appeal, Please contact the nearest Social Security Administration office, California Department of Health Care Services Website, Request for a State Fair Hearing to Appeal a Covered California Eligibility Determination form, Request for a State Fair Hearing to Appeal a Covered California Eligibility Determination Form, California Department of Managed Health Care Website, DMHC Independent Medical Review/Complaint Form, California Department of Insurance Website. Covered California Attn: Ombuds Office 1601 Exposition Blvd. A five-month CalMatters investigation found most park residents dont know how to file a complaint or fear what could happen if they do. Because of your income, you may be able to sign up now, even if you don't have another qualifying life event. Call 1-800-434-0222 or visit, You can also call the federal Medicare program for general questions or help with billing problems, at 1-800-MEDICARE (1-800-633-4227). about foster youth rights, care, placement, and services. Explain your rights and responsibilities. Updating county codes (when consumers move to another county). Physical, verbal, mental, or financial abuse. HCA provides free legal assistance in any language to consumers who are having problems with: Call 9:00 a.m. to 5:00 p.m., Monday through Friday. Written complaints should be sent to: State Commission on Judicial Performance If you prefer, you can contact the Office of the Ombudsman by calling(916) 445-1773or writing to California Department of Corrections and Rehabilitation, Office of the Ombudsman, 1515 S Street, Sacramento, CA 95811. Contact CDI for any questions or concerns with the following: California Department of Insurance WebsiteCDI Consumer ResourcesCDI Seniors Information CenterCheck the license status for agents or brokers, or obtain insurance company information.File a complaint or complete an Independent Medical Review application. Please see the chart in the Helpful Resources for response and resolution timeframes. They will ensure the right parties are involved and connect you to resources. Child Protective Services or Adult Protective Services. Sign up for a weekly must-read to stay informed on critical issues. Please note that the Commission does not have authority to direct a judge to take legal action, or to review a case for judicial error, mistake or other legal grounds. When contacting us, please include all of the following: We will reach out to you with any follow-up questions and will keep in touch with you along the way. Youll need to provide your name and your address even if you choose to remain anonymous. Problems can include, but are not limited to: Violation of residents' rights or dignity. Hearing Impaired: (916)323-5400 Example problems include sewage spills, garbage accumulation and rent hikes without proper warning. You filed a Covered California Complaint Form and have not been contacted, or you have an issue for which you cannot file an appeal. Referrals to appropriate agencies for concerns outside of their scope. Filing acomplaintthroughthe California Health Facilities Information Database (Cal Health Find)is the most direct way. Reset Please contact CalMatters with any commentary questions: commentary@calmatters.org, Manuela is our former Housing Reporter whose stories focused on the political dynamics and economic and racial inequities that contribute to the housing crisis in California and its potential solutions. Information and help on some PPOs and other kinds of insurance. This data set reflects the number of complaints the Long-Term Care (LTC) Ombudsman Program received during Federal Fiscal Years (FFY) 2012, 2013, 2014, 2015, 2016 . FAQs for Adult Inmates. You can also make a complaint via telephone by contacting the district office that has oversight of the facility in question. If you need the drug urgently, your doctor can ask for an expedited, or fast review. The Investigations Division diligently enforces laws, rules, and regulations that apply to: Dismantlers Salespersons Vehicle Dealers Registration Services Vehicle Odometer Unlicensed Activity California Child Support Services continuously strives to ensure that participants receive the highest level of service from the local child support agencies and through the California State Disbursement Unit (SDU). Obtaining your Form 1095-A or filing a dispute form for your Form 1095-A. Data & Reports. California Residents: Let your voice be heard . Parole Information. Message Center: (916) 492-8232(calls returned by next business day)Main Line: (916) 445-4423Fax: (916) 636-6108, Investigation Branch/InvestigationSection PO Box 997416, MS 3303 Sacramento, CA 95899-7416Email: cnamisconduct@cdph.ca.gov, CHCQ's Healthcare Workforce Branch investigates complaints against nursing home administrators, NHAP ComplaintsPO Box 997416, MS 3302 Sacramento, CA 95899-7416, PO Box 997377 1-800-927-4357. Help you resolve problems with your case. Independent Medical Review applications (IMR). Explain your rights and responsibilities. This webpage is intended for those who provide, or seek to provide, Long-Term Care Ombudsman services. You can call Livanta at 1-877-588-1123 about problemswith the quality of your care. Medical treatments, appointments or prescriptions that are not life threatening are required (needed within 30 calendar days). Immediate care or medications are required. The appropriate county CWS agency is the county, in which, the child resides. File a complaint involving non-child welfare services issues here In the event that one of the following situations applies to you, you have the option to file an appeal. Your plan must call you with a decision in 24 hours. You may also contact the California Department of Social Services at 1-844-538-8766. State Long-Term Care Ombudsman . (Form 1095-Aand Form FTB 3895 are documents you will receive from Covered California that are required to complete your federal income tax filing.). File a complaint about a company's products or services If you have an issue with a product or service, learn the steps to file a complaint with the company. Message Center: (916) 492-8232 (calls returned by next business day) Main Line: (916) 445-4423 Fax: (916) 636-6108 Sacramento, CA 95899-7416cnamisconduct@cdph.ca.gov NHAP@cdph.ca.gov CA Health & Human Services Centers for Disease Control and Prevention If you are unable to attend, ask for a new hearing date or for the hearing to be held by phone. These functions are for the State's appellate courts. Choose from the Customer Relations categories below to learn more: If you need help with a problem, ask to speak with the Ombudsperson it is his or her job to: To reach your Ombudsperson, contact the agency handling your case. Health Care Information. You can find our submission guidelines here. If you want to learn more about the Foster Youth Bill of Rights or you are concerned about the rights of a foster child, you can call our office at 877-846-1602. General Information Upon Arrival To Endorsed Institution. How to submit a complaint at your California mobile home park Call the service center during normal business hours at (800) 300-1506 (TTY: [888] 889-4500). You can file a complaint online at the housing departments online portal or by mail, by printing this form and sending it to the following address. Contact an Ombudsman - Office of the Ombudsman - CDCR Ombudsman Assistance Request Form. Checking the status of an individuals or agencys license. That shouldnt stand in the way of reporting dangerous living conditions, said Lorraine Lpez, a senior attorney at the Western Center for Law & Poverty, a legal aid group. The Covered California Service Center provides support to consumers by responding to questions, helping them enroll in health plans and resolving challenges. RESOLVED. Contact the local Long-Term Care Ombudsman Program, the Long-Term Care Ombudsman CRISISline at 1-800-231-4024 or the local police or sheriffs department. Website address: www.courts.ca.gov. Against a Licensed facility, a discrimination complaint, or other complaints. Anyone can file a complaint against a health-care facility --a patient or facility resident, a relative or friend, even a general member of the public. Complete our Contactinformation to submit complaints against certified nursing assistants, hemodialysis technicians, and home health aides is below. Sacramento, CA 95899-7377, For General Public Information: This field is for validation purposes and should be left unchanged. Medicare can be complicated, but there are people who can help you. Either the person paying child support or the person receiving support can file a complaint. The adults personal belongings, papers, or credit cards are missing. If you arent sure which agency can help you, you can contact the Department of Managed Health Care Help Center at 1-888-466-2219 or submit a complaint online. Another persons name has been added to the adults bank account or important documents, or the bank account shows frequent checks made out to cash. The California Department of Child Support oversees Californias Child Support Program. File a complaint with your state department of insurance, which regulates insurance activity and insurer compliance with state. Ombudsman. Medi-Cal Helpline: (800) 541-5555.DHCS Ombudsman Office: (888) 452-8609, orEmail:mmcdombudsmanoffice@dhcs.ca.gov. 1-833-4CA4ALL See the full list of reasons for filing an appeal. The state has up to 30 days to look into less pressing problems, but CalMatters found it can sometimes take longer. INVESTIGATED . If the period for resolving a complaint is extended for any reason, the agency will mail a notice stating the reason for the extension. If your local child support agency does not respond to your complaint in writing, you must request a State Hearing within 90 days from the date of your first written complaint. For Providers & Partners - Program Narrative and Fact Sheets; For Consumers - Long-Term Care Ombudsman; Service Area Map. 8-13-25 Our independent contractor, Health Consumer Alliance (HCA), provides free legal advice and representation, including assistance filing a complaint or grievance and arranging a hearing. Our calculator will be back soon, but you can still learn more about how Covered California works. What is the Long-Term Care Ombudsman Program? You may file an appeal by downloading and filling out theRequest for a State Fair Hearing to Appeal a Covered California Eligibility Determination form(PDF). You can file a complaint anonymously, but the department warns it might limit their ability to investigate the problem. If in doubt, contact the Office of the Mobilehome Ombudsman at 1-800-952-5275. But advocates say these parks often fall into disrepair because of their old age, vulnerability to climate hazards and lax oversight. Program for people who have both Medicare and Medi-Cal and who live in certain counties. Mobilehome Parks Request for Assistance (PDF) / Instructions (PDF) Written complaints should include the name of the judge, relevant dates, names of witnesses, and sources of information. California Ombudsman | What They Do, How to Find Them (2023 GUIDE Program Memos. You may also contact your local county office. Obtaining timely services from any health care entity. Or, get further help from a third party if you cannot resolve your complaint. If you are experiencing an issue with your health plan or are having difficulty accessing care, you can file a grievance with your insurance company. The Office shall assist complainants with resolving disputes, and inform . what we accomplished . Parts of California are expecting triple digit temperatures this week. Visit the Department of Managed Health Care (DMHC) Help Center if you have already filed a grievance with your health insurance company, or if there is an imminent threat to your health. Photo by Miguel Gutierrez Jr., CalMatters, Proudly powered by Newspack by Automattic. Explain the complaint process before, during, and after a complaint is filed. For the latest information regarding in-person visiting, including important details on COVID-19 testing requirements, visit CDCRsVisitation Information PageandVisitation FAQs. Fax (916)323-5400, Home > Filing Complaints > Medicare Complaints. Contact an Ombudsman 916-445-1773 or the Ombudsman Assistance Request Form Sara Smith, Chief Institutions covered: California Institution for Women (CIW) North Kern State prison (NKSP) Central California Women's Facility (CCWF) Division of Juvenile Justice Facilities (DJJ) (NAC, OHC, VYCF) Wasco State Prison (WSP) Juanita Hernandez Copies (do not send originals) of court documents may be attached to your letter to support the allegations against the judge. You may also file a complaint over the phone. Long-Term Care Ombudsman representatives assist residents in long-term care facilities with issues related to day-to-day care, health, safety, and personal preferences. If they find a problem, they will issue a notice to the homeowner or park owner at fault, and the length of time will depend on the problem. Covered California stated that you were not a U.S. citizen, U.S. national or a lawfully present individual living in the United States. Use the list below to get help with your health care problem from a statewide helpline or consumer assistance organization. 455 Golden Gate Avenue, Suite 14400 1-800-434-0222 (HICAP Help with Medicare issues). Your plan must reply in 72 hours. Protect and expand your vital nonprofitand nonpartisan state newsroom. File a dispute here. The adults caregiver appears to be angry, indifferent, or aggressive. File a Complaint. The names of county directors, addresses, and telephone numbers are listed in the County Government section of the local telephone directory or you may also find this information by visiting the County Welfare Directors Association website at www.cwda.org/membership. The telephone number for Family Court Services is in the County Government section of the local telephone directory under "Courts" or you may also find custody-related information and county contact telephone numbers at www.courts.ca.gov. Note: The Ombuds Office does not provide legal advice. ), Issues With Your Proof of Coverage for Taxes (Form 1095-A/FTB 3895). Answering questions regarding your coverage. Address concerns or grievances about Medi-Cal services. After describing your complaint, you can also attach any documents, letters or pictures to back up your claims. Ask a doctor to help you tell the planwhy you need the care. Licensing and other information for agents and brokers. 916-445-1773 or the Ombudsman Assistance Request Form, Copyright 2023 California Department of Corrections & Rehabilitation, Entering a California State Prison What to Expect, General Information Upon Arrival to Endorsed Institution, Central California Womens Facility (CCWF), Division of Juvenile Justice Facilities (DJJ) (NAC, OHC, VYCF), California State Prison, Los Angeles County (LAC), California Substance Abuse Treatment Facility and State Prison at Corcoran (SATF), California State Prison, Sacramento (SAC), Richard J Donovan Correctional Facility (RJD), California Correctional Institution (CCI), California City Correctional Facility (CAC). both Covered California and no-cost or low-cost coverage through Medi-Cal. Ombuds Office | Covered California Long-Term Care Ombudsman - California Department of Aging Visit the main CDCR Contact pageif you have questions not directly pertaining to resolving an inmate/juvenile issue with a CDCR prison or juvenile facility. Complaints without that information wont be processed. The Mobilehome Assistance Center (MAC) receives and processes complaints from the public and from public officials related to living in manufactured homes and mobilehomes. This timeframe may be affected by how complex your issue is and how much research your case requires. Complaint investigations involving general acute care hospitals and other non-long-term care facilities must be completed within 45 days if the allegation indicates an ongoing threat of imminent danger of death, or serious bodily harm. Covered California stated that you did not pay your premiums by your due date. For additional information, visit them atchildsupport.ca.gov. Assists Medicare members with certain problems and appeals. Concerns with health insurance coverage or companies. If you are experiencing an imminent or serious threat to your health, contact the DMHC Help Center immediately. An Ombudsman is a person in a government agency who can assist you with complaints or explain problems with the programs or policies of the agency . File a Complaint Against a Licensee; Consumer Self-Help; How to File a Citizen's comment/complaint about DCA; Consumer Complaints Disclosure If needed, they can refer you to the Medicare Beneficiary Ombudsman for help with a complaint or appeal. Visit our online portal to submit your complaint online. . How do I file a complaint?
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