Managed Long-Term Care Programs - Help for Enrollees
and Potential Enrollees
Assistance and Information, Appeals, Grievances, and Other
Questions
Assistance and Information:
Your local Aging and Disability Resource Center is the best place to
start. ADRCs are service centers that provide a place for the public to
get accurate, unbiased information on all aspects of life related to aging
or living with a disability. These centers are friendly, welcoming places
anyone can contact to receive information and assistance regarding not
only the public benefits that may be available, but all of the programs
and service available throughout the area.
List
of current ADRCs and contact information (PDF 45 KB) Updated
August 2009
Resources available for help:
What choices do you have if you want to file a grievance or appeal?
- File a grievance or appeal with the MCO.
- Ask for a review by the Wisconsin Department of Health Services
(DHS), which is the agency that contracts with the MCO for Family Care
or Partnership services.
- Ask for a state fair hearing.
- Requests for a fair hearing must be made in writing to the
following address and should include: your name, mailing address,
a brief description of the problem, which county and MCO involved
and your signature.
- Family Care and Partnership Request for a Fair Hearing
c/o DOA Division of Hearings and Appeals
5005 University Ave, Ste. 201
P.O. Box 7875
Madison, WI 53707-7875
- Website: http://dha.state.wi.us
Other grievance and appeals resources
- If
you are receiving services
for mental illness, a developmental
disability, or substance
abuse, along with your rights under DHS
10, you also
have rights under the Patient Rights laws and rules (s. 51.61,
Stats., and DHS
94, Wis. Admin. Code). You also have the right to use the DHS 94
grievance procedure, along with or in lieu of any other grievance
process you may have access to. For more information on these
rights, go to the Client Rights internet
site.
Last Revised: September 29, 2009
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