Accessibility In order to process your complaint in a timely manner, please: Type or Print clearly Complete form in its entirety, including your contact information Include any names and phone numbers with whom you have already filed a complaint with. Your email address will not be published. Telephone: 1-800-342-0553 1-800-669-3534 Home Health Hotline $ {title} After a complaint is filed, HSQA conducts an initial assessment to determine whether the agency will investigate the complaint. Oakbrook Terrace, IL 60181. To file a complaint about a health care facility that is regulated by the Agency for Health Care Administration, please complete the fields in the complaint form below. There are several ways to file a complaint against a provider regulated by DQA. Ways to File a Complaint Complaints can be filed by phone, mail, e-mail, or fax. By filing a complaint, the provider or facility may be forced to stop its harmful actions, stop unethical or ineffective treatment, or improve the overall quality of care. Take a picture if appropriate and bring it with you. Speak up, we're listening. Entities Covered by Authorization: Physician or medical practitioner; hospital or health clinic or facility; insurance company; third party . How Do I Register for the CONNECT Provider Portal to Begin the Initial Application Process? What is the complaint about? Health Systems Quality Assurance If the investigation concerns a health care provider, HSQA manages the investigation throughout the disciplinary process and works with investigators, staff attorneys, and the Office of the Attorney General to identify violations and evaluate the evidence. File a complaint if you think a caregiver or provider that DQA regulates has broken the law. These informal actions are non-public and the specific actions taken are required by law to be kept confidential. If you choose to provide your contact information, the Centralized Complaint Intake Unit will send you a letter which will acknowledge receipt of your complaint and provide information regarding how your complaint will be handled. information about small claims proceedings. This section provides information about how to file complaints with the agencies listed in the chart above, as well as information about what each agency may do in response to the complaints. Please take a few minutes to learn more about what we do and how you can help us help you. The State Board of Behavioral Health and Developmental Services approved thisExempt Actionto amend 12VAC35-105 to incorporate federal mobile Medication Assisted Treatment (MAT) requirements into Virginia regulations. Please use the instructions below to file a complaint with the Department of Public Health. A letter is sent to the complainant advising them that the complaint has been received by the Board and is being reviewed. Contact the state licensing agency to file a complaint or to speak with someone about your concerns. How Do I Make a Complaint About an HHS Service Provider? New CONNECT Provider Portal Help Desk Protocols. The Board gives serious consideration to all complaints. (Solution), How Old Do You Have To Be To Go To Rehab? To file a complaint: Keystone State. Detailed instructions for filling out the form are included with the form. T: (717)705-6938 F: (717)787-1190. Phone Central Complaint Registry Hotline - 800-252-4343 Monday-Friday 8:30 a.m. to 4:30 p.m. TTY for the Hearing Impaired Only- 800-547-0466 Mail Health Care Facilities Complaint Form Mail form to: Illinois Department of Public Health Office of Health Care Regulation If your complaint is better addressed by another agency, we will send you a letter within 10 business days which outlines which agency the matter has been referred to and how you can contact them. To file a complaint about how a hospital processed your application for Charity Care, you must contact the New Jersey Hospital Care Payment Assistance Program. 1. Check out our, regular Additional information that may be helpful when submitting your complaint includes, but is not limited to: Within 7-10 business days of submitting the complaint with your address, you will receive a letter to verify your complaint was received and will be investigated. The .gov means its official. TTY users can call 1-877-468-2048. PLEASE NOTE: DCP is responsible for ensuring that businesses follow all consumer laws and guard against deceptive business practices. Some examples include situations in which care caused a patient harm or placed the patient in a situation where he or she could have been harmed such as the following: receiving the wrong medication, not receiving treatment for a hospital-acquired infection, receiving incomplete or no discharge instructions, or not receiving timely care. Fax: (206) 615-2297. HSQA has no time limitation in which individuals must file a complaint, but it is best to file the complaint as soon as possible so it is easier for HSQA to investigate. Gather any documents, receipts, and guarantee or warranty information before you call or visit. Immediate Advocacy is an informal process used to quickly resolve a verbal complaint. Please note that the waitlist may not be processed in chronological order as state initiativesmay cause prioritization changes in the order applications are reviewed. Speak to your facilitys staff for contact details or review the Long Term Care Ombudsman Local Contact Information for more information. Learn More About the DOJ Settlement Agreement, licensingconnectinquiry@dbhds.virginia.gov. The Department of Consumer Protection can not resolve every consumer dispute. Box 944255, Sacramento, CA 94425-0255. Whether you have a problem, please check our Do I have a complaint? Some page levels are currently hidden. Anyone who has knowledge of a health care providers actions or has knowledge about an incident or event occurring in a facility licensed by the Department of Health may file a complaint. Do not use the Send Feedback at the bottom of this page. Before sending us your complaint, please make sure it is one we can help with. Please turn on JavaScript and try again. Where is the complaint filed? Transitions Rehabilitation - Wellness Across The Lifespan, How Long Does It Take To Rehab An Atrophied Muscle? Provide a detailed description of the complaint. Intermediate care facilities for people with intellectual disabilities. Facilities are required to have a process for responding to concerns regarding the care of residents/patients. 1 (855) 887-6668 (TTY). Copyright 2023 State of Indiana - All rights reserved. A health professional regulated by the Washington State Department of Health, such as: a doctor, doctors assistant, nurse, nurses assistant, pharmacist, psychologist, mental health counselor, occupational therapist, or a facility or agency licensed by the Department of Health, such as: hospitals, surgery centers, home health or hospice agencies, clinics, labs, psychiatric facilities and state schools for hearing and visually impaired. Please enable scripts and reload this page. Providers. A health care organization or program that The Joint Commission accredits or certifies, including hospitals, doctors offices, nursing homes, office-based surgery centers, behavioral health treatment facilities, and providers of home care services. Phone Toll-free Complaint Report Line: 1-800-246-8909 (available during state business hours). of the Code of Virginia, guarantees citizens of the Commonwealth and representatives of the media access to public records held by public bodies,public officials, and public employees. ) or https:// means youve safely connected to the official website. You can file a complaint anonymously. It is advisable to have one designated representative when filing a complaint on behalf of the family or a group of individuals since only the person who files the complaint will receive correspondences from the Nursing Home Complaint Program. 315 5th Avenue S, Suite 850 Click below for help using the CONNECT Provider Portal or to report an issue. Agents answer calls Monday through Friday from 7 a.m. 7 p.m. (42 CFR Part 430, 431). The form can be mailed to: Washington State Department of Health To file your complaint, call (888) 419-3456, or complete the Health Care Facility Complaint Form . Where is the complaint filed? If you are not the person receiving medical care, their legal surrogate, or have their permission to receive their personal medical information, you will need to have the patient/resident or their legal surrogate sign a Health Insurance Portability and Accountability Act (HIPAA) form. If you have additional questions related to HCBS please contact: Virginia Department of Behavioral Health and Developmental Services, Office of Behavioral Health Wellness (OBHW), Military Service Members, Veterans and Families, Early Intervention for Infants and Toddlers, Individual and Family Support Program (IFSP), Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF/IID), Support Coordination/Case Management Resources, Victims of Eugenics Sterilization Compensation Program, Public Guardianship for Individuals with Intellectual and Developmental Disabilities, Learn about the Individual and Family Support Program (IFSP). Oakbrook Terrace, IL 60181. HSQA may take corrective action against a health care facility in violation of a law or rule, but will not impose criminal or civil penalties against the facility. A Board member liaison will be assigned to assist the investigator in preparing interview questions or providing guidance during the investigation. They may be able to resolve the complaint with a quick action. The Joint Commission may use the information provided in the complaint to identify noncompliance with the organizations accreditation or certification. Where is the complaint filed? Copyright 2016-2023. *** This form is for Nursing Home complaints only. Please note: to protect patient and resident privacy, all complaints must be made by fax, mail, or telephone. If you need assistance, please contact the Division of Health Care Facility Licensure and Certification. By Phone Complaint Hotline: 1-800-792-9770 The 24-hour hotline handles consumer complaints and facility emergencies seven days a week. **Note: In order to download the waitlist, please allow pop ups.**. The complaint also can be emailed to HSQAComplaintIntake@doh.wa.gov or faxed to (360) 236-2626. If the investigation concerns a health care facility, the investigation may include visiting the facility, reviewing patient records, reading and reviewing the facilitys policies, procedures, and documents relating to the incident, interviewing staff, and observing staff delivering care. Livanta will inform the Medicare beneficiary or representative whether the care met professionally recognized standards. A person can file a complaint against a health care organization accredited or certified by The Joint Commission by filling out the complaint form on The Joint Commission website. The Medicare beneficiary or a representative must verbally agree to Immediate Advocacy. Annapolis Junction, MD 20701. 2201 Sixth Ave Mail Stop RX-11 Complaints may concern the quality of the care or other services provided by a Medicare provider. Updated new applicant information will be posted to this website as of January 3, 2023. Please enable JavaScript in your browser. If you would like to inquire after a filed or in-process ethics complaint, please email ethics@naadac.org to ensure confidentiality. However, if the facility or agency does not adequately or effectively respond to the complaint, a person may file a complaint with a number of other organizations depending on whom the complaint is against and what the complaint is about. Top-requested sites to log in to services provided by the state. Work together to find a solution that fits your needs. If the complaint asserts a violation of a law or rule and HSQA has authority to investigate the health care provider or facility, then HSQA will investigate. Name of any resident, patient or client affected, Name of staff member or facility/ entity personnel involved, A brief description of your concern (what happened that lead you to contact the IDOH). File a complaint with the Federal Trade Commission. Avoid confusing the issues by telling them information not relevant to your complaint. Obtaining additional information from the provider, Performing an off-site review of the issue, Reviewing concerns during the facilitys next survey, Referring the complaint to a providers accrediting organization, Referring the complaint to another agency when appropriate. Supporting individuals by promoting recovery, self-determination, and wellness in all aspects of life. After the complaint investigation is initiated, a state surveyor will enter the facility or entity unannounced. If your problem isn't resolved, follow the facility's grievance procedure. ALBANY, NEW YORK 12237. The completed form should be mailed to: BFCC-QIO Program, Area 5 Exciting News: The DBHDS Office of Licensing is dedicated to reducing any undue administrative burden to potential licensure applicants. An official website of the Commonwealth of Massachusetts, This page, File a complaint regarding a nursing home or other health care facility, is, of File a complaint regarding a nursing home or other health care facility, for File a complaint regarding a nursing home or other health care facility, File a complaint regarding a nursing home or other health care facility, to File a complaint regarding a nursing home or other health care facility. The SNF must post the name, address, and phone number of state groups, like these: State Survey Agency State Licensure Office State Ombudsman Program If evidence does not support the complaint, the case will be closed. OUR MISSION:To be the regulatory authority for DBHDS licensed service delivery system through effective oversight. Call 800-722-0432. Please note that the action will not be fully visiblehereuntil the Office of the Attorney General completes and certifies its review, a date that is unknown at this time. JavaScript is required to use content on this page. A complaint filed with HSQA against a health care facility may concern a violation of state licensing laws and in some cases federal Medicare rules. If, after an investigation, we have sufficient evidence that a business is violating the law, we may open a case on behalf of the State of Connecticut. Investigation reports are not provided electronically. How Do I Send a Message in the CONNECT Provider Portal Job Aid? The Department of Consumer Protection can not resolve every consumer dispute. (Correct answer). The Complaint Center tracks, and attempts to resolve, disputes between consumers and businesses operating in Connecticut. The Board may vote to charge the long-term care administrator. If OCR has authority to investigate the complaint, the investigator will gather information by interviewing witnesses, obtaining documentation, and visiting appropriate sites. 9090 Junction Dr., Ste 10 There are two ways to submit a complaint: The Nursing Home Complaint Form Nursing Home Complaint Hotline (1-888-201-4563) The Hotline can be called 24 hours per day 7 days per week and is staffed by Nursing Home and ICF/MR Surveillance staff from 8:30 a.m. to 4:45 p.m. Monday through Friday. It looks like your browser does not have JavaScript enabled. How Do I Submit a Corrective Action Plan (CAP) in CONNECT? To file a complaint, you can also call the Bureau of Research and Statistics at (916) 322-3350 and request that a form be mailed to you. A nursing home becomes an option when the level of care needed cannot be provided at home. Research the business you will be dealing with. This information is a service of Disability Rights Washington (DRW). This page is located more than 3 levels deep within a topic. OCRs primary authority is over recipients of federal financial assistance from HHS. To file a complaint with DQA, use one of these methods: You can also file a complaint based on the type of provider: Behavioral health programs, mental health, and substance abuse treatment - Call DQA at 608-266-8481. In addition, the Department has a Voice/TDD, (804) 371-8977. One Renaissance Boulevard Some of the Complaints our Agency DOES Handle: Professionals, Trades People or Contractors that should be licensed or registered with DCP. For questions or to file a complaint over the phone, a person can call (360) 236-4700.

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