What to Do
We want to make sure you get the best care possible. But, when things aren’t right, you have a right to complain. This is called a grievance. There are four ways you can file a grievance:
- Call us: You or your personal representative can call our grievance team. Call them at 720-744-5134 or
- Email us: You or your personal representative can email our grievance team. Email them at email@example.com.
- Fill out a form: You can fill out a grievance form and send it to us. To find our most common forms, click here.
- Write a letter: You can write us a letter to tell us about your complaint in detail. Send your letter to:
PO Box 17950
Denver, CO 80217-0950
The letter should include your name, state identification (ID) number, address, and phone number. If you need help to write your grievance, call us. Call us at 720-744-5134.
Member Grievance Form
What happens when I file a grievance?
- Once we have received your grievance, we will send you a letter within two business days. The letter will say we got your grievance.
- We will review your grievance. We may talk with you or your personal representative, or the people involved in the situation. We may also look at your health records.
- Someone who was not involved in the situation will review your grievance.
- Within 15 business days after we get your grievance, we will send you a letter. This letter will say what we found and how we fixed it. Or it will let you know that we need more time. You will get a letter from us after we finish the review.
- We will work with you or your personal representative to try to find a solution that works best for you.
Ombudsman for Behavioral Health Access to Care
The office of the Ombudsman for Behavioral Health Access to Care acts as a neutral party to help members and health care providers address issues related to behavioral health access to care. CHP+ HMO is subject to the Mental Health Parity and Addiction Equity Act (MHPAEA). A denial, restriction, or withholding of benefits for behavioral health services that are covered under the medical assistance program could be a potential violation of MHPAEA. If you have or are experiencing a behavioral health access to care issue, contact the office of the Ombudsman for Behavioral Health Access to Care.