Grievance Policies

Patient/client grievance procedure requirements extracted from each state's regulations, by level of care.

State

Level of care

549 results

State	Level of Care	Acknowledge	Resolve	Written Response	Appeals	Who Can File	Citation
AL	Community Mental Health Center (CMHC)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	SUD Detoxification / Withdrawal Management	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	IDD Community / HCBS	—	—	—	—	recipients, or other interested persons	Ala. Admin. Code r. 580-8-38
AL	IDD Day Habilitation / Day Program	—	—	—	—	recipients, or other interested persons	Ala. Admin. Code r. 580-8-38
AL	IDD Residential / ICF-IID	—	—	—	—	recipients, or other interested persons	Ala. Admin. Code r. 580-8-38
AL	Mental Health IOP (Intensive Outpatient)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Mental Health PHP (Partial Hospitalization)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Mental Health Residential	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Opioid Treatment Program (OTP)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Outpatient (MH & SUD)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Psychiatric Residential Treatment Facility (PRTF)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Psychiatric Facility	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Substance Use IOP (Intensive Outpatient)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Substance Use PHP (Partial Hospitalization)	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AL	Substance Use Residential	—	—	✓	—	recipient; legal guardian of a minor (except where minor is at or above age 16 and chooses not to involve parents); family members of a minor	Ala. Admin. Code r. 580-2-20
		Written response note: Written notification must be in the recipient's preferred language and in a manner understood by the recipient; grievance policies must be provided in writing to legal guardians of minors and family members of minors..
AR	SUD Detoxification / Withdrawal Management	—	no later than the board's next scheduled meeting (for grievances reviewed by the governing board); otherwise in accordance with the program's policies and procedures	—	✓ no later than the board's next scheduled meeting	clients	Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs
		Filing deadline: a reasonable specific deadline for completing the process. Appeals: Clients have the right to appeal treatment decisions made by staff in accordance with the program's grievance policy..
AR	IDD Community / HCBS	—	time frames that are adequate for prompt consideration and that result in timely decisions for the person served	✓	✓	persons served (families/parents/guardians)	Rule 016.05.07-003 - Certification Standards for Early Intervention Services
		Written response note: The procedure must be written; the organization must implement a written procedure concerning formal complaints specifying that action will not result in retaliation or barriers to services and how efforts will be made to resolve complaints.. Appeals: The individual has been notified of their right to appeal according to DDS Policy 1076; the provider must provide a copy of the appeal procedure for decisions made by the organization..
AR	IDD Day Habilitation / Day Program	—	Time frames that are adequate for prompt consideration and that result in timely decisions for the person served	✓	✓	persons served (individuals), parent, or guardian	Rule 016.05.07-004 - Certification Standards for ACS Waiver Services
		Written response note: Procedures for written notification regarding the actions to be taken to address the complaint are required.. Appeals: Levels of review must be specified, including availability of external review; individual has right to appeal to DDS under DDS Policy 1076..
AR	IDD Residential / ICF-IID	—	within five (5) working days of the meeting	✓	✓ within ten (10) working days by filing an appeal with the DDS Director; within fifteen (15) working days of receiving appeal, the DDS Director shall schedule and conduct a meeting; within five (5) working days of the meeting, a written decision shall be r	an individual, or an individual's guardian, or legal representative	Rule 016.05.09-001 - DDS Policy 1086 - Human Development Center Admission and Discharge Rules
		Filing deadline: within ten (10) working days of the receipt of notification of a decision. Written response note: a written decision shall be made and submitted to all parties; meeting shall be recorded; all parties notified of meeting date, time and location in writing with telephone follow-up. Appeals: First appeal to HDC Superintendent within 10 working days; if dissatisfied, second appeal to DDS Director within 10 working days of Superintendent decision; DDS Director decision is final agency action..
AR	Opioid Treatment Program (OTP)	—	no later than the board's next scheduled meeting (for grievances reviewed by the governing board); otherwise in accordance with the program's policies and procedures	✓	✓ no later than the board's next scheduled meeting	clients	Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs
		Filing deadline: a reasonable specific deadline for completing the process. Written response note: Upon discharge, the Program shall provide a written statement containing the reason(s) for discharge, written notice of the right to request review, and a copy of the appeal procedures.. Appeals: Clients have the right to appeal treatment decisions made by staff in accordance with the program's grievance policy..
AR	Outpatient (MH & SUD)	—	no later than the board's next scheduled meeting (for grievances reviewed by the governing board); otherwise in accordance with the program's policies and procedures	—	✓	clients	Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs
		Filing deadline: a reasonable specific deadline for completing the process. Appeals: Clients have the right to appeal treatment decisions made by staff in accordance with the program's grievance policy..
AR	Substance Use IOP (Intensive Outpatient)	—	no later than the board's next scheduled meeting (for grievances reviewed by the governing board); otherwise in accordance with the program's policies and procedures	—	✓ no later than the board's next scheduled meeting	clients	Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs
		Filing deadline: a reasonable specific deadline for completing the process. Appeals: Clients have the right to appeal treatment decisions made by staff in accordance with the program's grievance policy..
AR	Substance Use PHP (Partial Hospitalization)	—	no later than the board's next scheduled meeting (for grievances reviewed by the governing board); otherwise in accordance with the program's policies and procedures	—	✓ no later than the board's next scheduled meeting	clients	Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs
		Filing deadline: a reasonable specific deadline for completing the process. Appeals: Clients have the right to appeal treatment decisions made by staff in accordance with the program's grievance policy..
AR	Substance Use Residential	—	no later than the board's next scheduled meeting (for grievances reviewed by the governing board); otherwise in accordance with the program's policies and procedures	—	✓ no later than the board's next scheduled meeting	clients	Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs
		Filing deadline: a reasonable specific deadline for completing the process. Appeals: Clients have the right to appeal treatment decisions made by staff in accordance with the program's grievance policy..
AZ	Applied Behavior Analysis	—	—	—	—	a client, guardian, human rights advocate, Independent Oversight Committee, State Protection and Advocacy System, designated representative, or any other concerned person	§ R9-21-402 - General
AZ	Certified Community Behavioral Health Clinic (CCBHC)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Community Mental Health Center (CMHC)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	SUD Detoxification / Withdrawal Management	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	IDD Community / HCBS	—	within 30 calendar days of receipt of the request	✓	—	a client, guardian, human rights advocate, Independent Oversight Committee, State Protection and Advocacy System, designated representative, or any other concerned person	§ R9-21-402 - General
		Filing deadline: within 35 calendar days of the decision or disagreement; or within 60 calendar days if the District Program Manager takes no action. Written response note: The Division's Compliance and Review Unit shall render a written decision within 30 calendar days of receipt of the request..
AZ	IDD Day Habilitation / Day Program	—	—	—	—	a client, guardian, human rights advocate, Independent Oversight Committee, State Protection and Advocacy System, designated representative, or any other concerned person	§ R9-21-402 - General
AZ	IDD Residential / ICF-IID	—	—	—	—	a client, guardian, human rights advocate, Independent Oversight Committee, State Protection and Advocacy System, designated representative, or any other concerned person	§ R9-21-402 - General
AZ	Mental Health IOP (Intensive Outpatient)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Mental Health PHP (Partial Hospitalization)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Mental Health Residential	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Opioid Treatment Program (OTP)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Outpatient (MH & SUD)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Psychiatric Residential Treatment Facility (PRTF)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Psychiatric Facility	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Substance Use IOP (Intensive Outpatient)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Substance Use PHP (Partial Hospitalization)	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
AZ	Substance Use Residential	Within five days of receipt of an appeal, the health plan shall inform the client in writing that the appeal has been received	Within seven days of receipt of the notice of appeal, the health plan shall hold an informal conference	✓	✓ Within 15 days of notification from the health plan, the Administration shall hold an informal conference	The client, the client's or applicant's guardian, the client's or applicant's designated representative, or a service provider of the client (with client/guardian permission)	§ R9-21-401 - Appeals
		Filing deadline: within 60 days of the decision, report, plan, or action being appealed. Written response note: Written notice shall include a statement of the nature of the appeal, the issues involved, the resolution achieved, and the date by which the resolution will be implemented. Appeals: If the informal conference with the health plan does not resolve the dispute, the matter may be further appealed to the Administration for an informal conference; if still unresolved, an administrative hearing may be requested under A.R.S. § 41-1092.03.
CA	Community Mental Health Center (CMHC)	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	within 60 calendar days of receipt of the grievance, extendable by up to 14 calendar days	✓	✓	beneficiary, a person authorized by the beneficiary to act on their behalf (including a provider), or the beneficiary's legal representative	§ 1850.205 - General Provisions
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: An appeal process and an expedited appeal process are required under Sections 1850.207 and 1850.208 respectively; beneficiaries also have access to fair hearings after exhaustion of the appeal or expedited appeal process..
CA	IDD Residential / ICF-IID	—	within two working days	—	✓ within five working days to director; if unresolved within ten working days, referred to Patients' Rights Specialist	any patient/resident who believes a right of his/hers has been abused, punitively withheld, or unreasonably denied	§ 864 - Complaint Procedure
		Appeals: If dissatisfied, matter referred within five working days to local mental health director (MH) or regional center director (IDD); if unresolved within ten working days, referred to Patients' Rights Specialist, Dept. of Health; further appeal may be made to the Director of State Department of Health or designee..
CA	Mental Health IOP (Intensive Outpatient)	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	—	✓	✓	beneficiary, a person authorized by the beneficiary to act on their behalf (including a provider), or the beneficiary's legal representative	§ 1850.205 - General Provisions
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: An appeal process and an expedited appeal process are required under Sections 1850.207 and 1850.208 respectively; beneficiaries also have access to fair hearings after exhaustion of the appeal or expedited appeal process..
CA	Mental Health PHP (Partial Hospitalization)	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	—	✓	✓	beneficiary, a person authorized by the beneficiary to act on their behalf (including a provider), or the beneficiary's legal representative	§ 1850.205 - General Provisions
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: An appeal process and an expedited appeal process are required under Sections 1850.207 and 1850.208 respectively; beneficiaries also have access to fair hearings after exhaustion of the appeal or expedited appeal process..
CA	Mental Health Residential	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	within two working days	✓	✓ within five working days to director; if unresolved within ten working days, referred to Patients' Rights Specialist	beneficiary, a person authorized by the beneficiary to act on their behalf (including a provider), or the beneficiary's legal representative	§ 1850.205 - General Provisions
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: An appeal process and an expedited appeal process are required under Sections 1850.207 and 1850.208 respectively; beneficiaries also have access to fair hearings after exhaustion of the appeal or expedited appeal process..
CA	Outpatient (MH & SUD)	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	—	✓	✓	beneficiary, a person authorized by the beneficiary to act on their behalf (including a provider), or the beneficiary's legal representative	§ 1850.205 - General Provisions
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: An appeal process and an expedited appeal process are required under Sections 1850.207 and 1850.208 respectively; beneficiaries also have access to fair hearings after exhaustion of the appeal or expedited appeal process..
CA	Psychiatric Residential Treatment Facility (PRTF)	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	within two working days (initial action by county patients' rights advocate); within ten (10) working days (local mental health director)	✓	✓ within five (5) working days to local mental health director; within ten (10) working days to patients' rights specialist	any child who believes a right of his has been abused, punitively withheld or unreasonably denied	§ 1933 - Complaint Procedures
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: If unresolved by county patients' rights advocate, referred within 5 working days to local mental health director or regional center director; if unresolved within 10 working days, referred to patients' rights specialist at the Department; appeal of that resolution may be made to the Director of the Department or designee..
CA	Psychiatric Facility	Acknowledge the receipt of each grievance, appeal, and expedited appeal to the beneficiary in writing.	—	✓	✓	beneficiary, a person authorized by the beneficiary to act on their behalf (including a provider), or the beneficiary's legal representative	§ 1850.205 - General Provisions
		Written response note: Written acknowledgment of receipt is required; final disposition date must be recorded in the grievance and appeal log or another central location, and providers cited or involved must be notified of final disposition.. Appeals: An appeal process and an expedited appeal process are required under Sections 1850.207 and 1850.208 respectively; beneficiaries also have access to fair hearings after exhaustion of the appeal or expedited appeal process..
CO	Applied Behavior Analysis	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Certified Community Behavioral Health Clinic (CCBHC)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Community Mental Health Center (CMHC)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	SUD Detoxification / Withdrawal Management	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	IDD Community / HCBS	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	IDD Day Habilitation / Day Program	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	IDD Residential / ICF-IID	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Mental Health IOP (Intensive Outpatient)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Mental Health PHP (Partial Hospitalization)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Mental Health Residential	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Opioid Treatment Program (OTP)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Outpatient (MH & SUD)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Psychiatric Residential Treatment Facility (PRTF)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Psychiatric Facility	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Substance Use IOP (Intensive Outpatient)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Substance Use PHP (Partial Hospitalization)	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CO	Substance Use Residential	—	no later than thirty (30) business days from submission of the dispute	✓	✓	each individual or, when applicable, the individual's designated representative	2 CCR 502-1
		Written response note: If the dispute is received verbally, the representative shall create a written documentation of the dispute. Response must be provided within 30 business days.. Appeals: Individuals who have submitted a dispute verbally or in writing may also submit a grievance to the BHA (Behavioral Health Administration). The BHE must provide information about how to submit a grievance to the BHA. External appeal contacts may include the Colorado Department of Regulatory Agencies, CDPHE, HCPF, or the governor's designated protection and advocacy system..
CT	Community Mental Health Center (CMHC)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	a client or by a person authorized by law to act on behalf of the client	RCSA 17a-451(t)
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	SUD Detoxification / Withdrawal Management	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	service recipient (client receiving services from a Commission-funded program)	RCSA 17-226d
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Mental Health IOP (Intensive Outpatient)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	a client or by a person authorized by law to act on behalf of the client	RCSA 17a-451(t)
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Mental Health PHP (Partial Hospitalization)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	a client or by a person authorized by law to act on behalf of the client	RCSA 17a-451(t)
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Mental Health Residential	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	a client or by a person authorized by law to act on behalf of the client	RCSA 17a-451(t)
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Opioid Treatment Program (OTP)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	service recipient (client receiving services from a Commission-funded program)	RCSA 17-226d
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Outpatient (MH & SUD)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	service recipient (client receiving services from a Commission-funded program)	RCSA 17-226d
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Psychiatric Residential Treatment Facility (PRTF)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	a client or by a person authorized by law to act on behalf of the client	RCSA 17a-451(t)
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Psychiatric Facility	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	a client or by a person authorized by law to act on behalf of the client	RCSA 17a-451(t)
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Substance Use IOP (Intensive Outpatient)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	service recipient (client receiving services from a Commission-funded program)	RCSA 17-226d
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Substance Use PHP (Partial Hospitalization)	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	service recipient (client receiving services from a Commission-funded program)	RCSA 17-226d
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
CT	Substance Use Residential	Not later than seven days after the filing of a grievance	not later than twenty-one calendar days after receipt of a grievance, unless the head of the covered service provider authorizes an additional fifteen calendar days, with written notice to the client	✓	✓ not later than fifteen business days after the client's receipt of the covered service provider's decision for further review; not later than thirty calendar days after the date of mailing of the final determination for a hearing request	service recipient (client receiving services from a Commission-funded program)	RCSA 17-226d
		Filing deadline: not later than forty-five calendar days after the receipt of notice of the action complained of, unless good cause is shown for a late filing. Written response note: Written proposals and reports required from client rights officer; written notice to client required if extension of 15 additional calendar days is authorized; written notice of referral required if suspected violation is identified.. Appeals: Further review by an official designated by the Commissioner who examines the written decision of the head of the covered service provider; thereafter a fair hearing before a hearing officer appointed by the Commissioner is available, with a final decision issued by the Commissioner..
DC	Certified Community Behavioral Health Clinic (CCBHC)	—	—	—	—	the consumer or any third party	22-A522
DC	Community Mental Health Center (CMHC)	written acknowledgment upon filing (no specific timeframe stated beyond receipt)	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	SUD Detoxification / Withdrawal Management	—	within thirty (30) calendar days	✓	✓	client, or a person legally authorized to act on behalf of the client	22-A6320
		Written response note: A copy of the investigation report must be provided to the Department within twenty-four (24) hours of completing the investigation of any complaint.. Appeals: Medicaid beneficiaries and local-only beneficiaries are entitled to Notice and Appeal rights pursuant to 29 DCMR § 9508 for adverse actions such as denial, discontinuation, termination, or change in manner or form of Medicaid-funded SUD services..
DC	Mental Health IOP (Intensive Outpatient)	written acknowledgment upon filing (no specific timeframe stated beyond receipt)	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	Mental Health PHP (Partial Hospitalization)	written acknowledgment upon filing (no specific timeframe stated beyond receipt)	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	Mental Health Residential	written acknowledgment upon filing (no specific timeframe stated beyond receipt)	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	Outpatient (MH & SUD)	written acknowledgment upon filing (no specific timeframe stated beyond receipt)	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	Psychiatric Residential Treatment Facility (PRTF)	—	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	Psychiatric Facility	written acknowledgment upon filing (no specific timeframe stated beyond receipt)	timely manner	✓	✓ prompt and impartial review	any consumer or other interested parties, including the consumer's representative	22-A300
		Filing deadline: a grievance will not be entertained if it complains of a specific action that occurred more than six (6) months prior to the filing of the grievance, absent extenuating circumstances. Written response note: MH provider must submit a written Consumer Rights Policy including the Grievance Procedure to DMH for approval; procedure details are governed by § 306 (not reproduced here).. Appeals: Consumers may initiate a grievance with outside entities including the Office of Administrative Review and Appeals at DHS, U.S. DHHS, and DC's protection and advocacy program for persons with mental illness..
DC	Substance Use IOP (Intensive Outpatient)	—	within thirty (30) calendar days	✓	✓	client, or a person legally authorized to act on behalf of the client	22-A6320
		Written response note: A copy of the investigation report must be provided to the Department within twenty-four (24) hours of completing the investigation of any complaint.. Appeals: Medicaid beneficiaries and local-only beneficiaries are entitled to Notice and Appeal rights pursuant to 29 DCMR § 9508 for adverse actions such as denial, discontinuation, termination, or change in manner or form of Medicaid-funded SUD services..
DC	Substance Use PHP (Partial Hospitalization)	—	within thirty (30) calendar days	✓	✓	client, or a person legally authorized to act on behalf of the client	22-A6320
		Written response note: A copy of the investigation report must be provided to the Department within twenty-four (24) hours of completing the investigation of any complaint.. Appeals: Medicaid beneficiaries and local-only beneficiaries are entitled to Notice and Appeal rights pursuant to 29 DCMR § 9508 for adverse actions such as denial, discontinuation, termination, or change in manner or form of Medicaid-funded SUD services..
DC	Substance Use Residential	—	within thirty (30) calendar days	✓	✓	client, or a person legally authorized to act on behalf of the client	22-A6320
		Written response note: A copy of the investigation report must be provided to the Department within twenty-four (24) hours of completing the investigation of any complaint.. Appeals: Medicaid beneficiaries and local-only beneficiaries are entitled to Notice and Appeal rights pursuant to 29 DCMR § 9508 for adverse actions such as denial, discontinuation, termination, or change in manner or form of Medicaid-funded SUD services..
DE	SUD Detoxification / Withdrawal Management	—	—	—	—	clients or persons acting on their behalf	16 Del. Admin. Code 6001
DE	Mental Health Residential	—	—	—	✓	residents (resident complaints)	16 Del. Admin. Code 3305
		Appeals: The availability of the grievance system shall not preclude or diminish a resident's right to pursue remedies in alternate forums, including those authorized by 16 Del.C. §§1121, 1125, and 1152. Applicable appeal processes must also be referenced in written guidelines provided to residents per Section 11.2.3..
DE	Opioid Treatment Program (OTP)	—	—	—	—	clients or persons acting on their behalf	16 Del. Admin. Code 6001
DE	Outpatient (MH & SUD)	—	—	—	—	clients or persons acting on their behalf	16 Del. Admin. Code 6001
DE	Substance Use IOP (Intensive Outpatient)	—	—	—	—	clients or persons acting on their behalf	16 Del. Admin. Code 6001
DE	Substance Use PHP (Partial Hospitalization)	—	—	—	—	clients or persons acting on their behalf	16 Del. Admin. Code 6001
DE	Substance Use Residential	—	—	—	—	clients or persons acting on their behalf	16 Del. Admin. Code 6001
FL	Community Mental Health Center (CMHC)	—	within 45 days of the filing of the grievance or appeal	—	✓ within 45 days of the filing of the grievance or appeal	the child and his family	Fla. Admin. Code r. 65E-11.007
		Appeals: The process for grievances and appeals must afford the child and his family due process in circumstances where behavioral health services were denied, suspended or reduced; grievances and appeals are documented, implemented, and resolved within 45 days of filing..
FL	SUD Detoxification / Withdrawal Management	Timely receipt of a filed grievance	specific levels of appeal with corresponding time frames for resolution	✓	✓ specific levels of appeal with corresponding time frames for resolution	individual, family member, or authorized guardian; any party may file a grievance for any reason with cause	Fla. Admin. Code r. 65D-30.0045
		Written response note: Written notification of the decision to the appellant is required.. Appeals: Specific levels of appeal are required; grievances are logged and tracked until resolved or concluded by actions of the provider's governing board..
FL	Mental Health IOP (Intensive Outpatient)	—	within 45 days of the filing of the grievance or appeal	—	✓ within 45 days of the filing of the grievance or appeal	the child and his family	Fla. Admin. Code r. 65E-11.007
		Appeals: The process for grievances and appeals must afford the child and his family due process in circumstances where behavioral health services were denied, suspended or reduced; grievances and appeals are documented, implemented, and resolved within 45 days of filing..
FL	Mental Health PHP (Partial Hospitalization)	—	within 45 days of the filing of the grievance or appeal	—	✓ within 45 days of the filing of the grievance or appeal	the child and his family	Fla. Admin. Code r. 65E-11.007
		Appeals: The process for grievances and appeals must afford the child and his family due process in circumstances where behavioral health services were denied, suspended or reduced; grievances and appeals are documented, implemented, and resolved within 45 days of filing..
FL	Mental Health Residential	—	within 45 days of the filing of the grievance or appeal	✓	✓ within 45 days of the filing of the grievance or appeal	the child and his family	Fla. Admin. Code r. 65E-11.007
		Written response note: Facility must have written policies and procedures for receiving and responding to resident communications concerning its program, and written policies concerning resident grievance procedures.. Appeals: The process for grievances and appeals must afford the child and his family due process in circumstances where behavioral health services were denied, suspended or reduced; grievances and appeals are documented, implemented, and resolved within 45 days of filing..
FL	Opioid Treatment Program (OTP)	Timely receipt of a filed grievance	specific levels of appeal with corresponding time frames for resolution	✓	✓ specific levels of appeal with corresponding time frames for resolution	individual, family member, or authorized guardian; any party may file a grievance for any reason with cause	Fla. Admin. Code r. 65D-30.0045
		Written response note: Written notification of the decision to the appellant is required.. Appeals: Specific levels of appeal are required; grievances are logged and tracked until resolved or concluded by actions of the provider's governing board..
FL	Outpatient (MH & SUD)	—	within 45 days of the filing of the grievance or appeal	—	✓ within 45 days of the filing of the grievance or appeal	the child and his family	Fla. Admin. Code r. 65E-11.007
		Appeals: The process for grievances and appeals must afford the child and his family due process in circumstances where behavioral health services were denied, suspended or reduced; grievances and appeals are documented, implemented, and resolved within 45 days of filing..
FL	Psychiatric Residential Treatment Facility (PRTF)	—	—	✓	✓	the child or parent or guardian	Fla. Admin. Code r. 65E-9.008
		Written response note: The placement agreement must include a written description of complaint procedures, including a method of appeal to provider management for complaints not resolved to the satisfaction of the child or parent or guardian.. Appeals: Appeal to provider management for complaints not resolved to the satisfaction of the child or parent or guardian..
FL	Psychiatric Facility	—	within 45 days of the filing of the grievance or appeal	✓	✓ within 45 days of the filing of the grievance or appeal	the child and his family	Fla. Admin. Code r. 65E-11.007
		Written response note: Grievance must be date-stamped upon receipt; when grievance is verbal, facility must provide a neutral party to assist resident in writing it; written response must address the issue and remedy sought.. Appeals: The process for grievances and appeals must afford the child and his family due process in circumstances where behavioral health services were denied, suspended or reduced; grievances and appeals are documented, implemented, and resolved within 45 days of filing..
FL	Substance Use IOP (Intensive Outpatient)	Timely receipt of a filed grievance	specific levels of appeal with corresponding time frames for resolution	✓	✓ specific levels of appeal with corresponding time frames for resolution	individual, family member, or authorized guardian; any party may file a grievance for any reason with cause	Fla. Admin. Code r. 65D-30.0045
		Written response note: Written notification of the decision to the appellant is required.. Appeals: Specific levels of appeal are required; grievances are logged and tracked until resolved or concluded by actions of the provider's governing board..
FL	Substance Use PHP (Partial Hospitalization)	Timely receipt of a filed grievance	specific levels of appeal with corresponding time frames for resolution	✓	✓ specific levels of appeal with corresponding time frames for resolution	individual, family member, or authorized guardian; any party may file a grievance for any reason with cause	Fla. Admin. Code r. 65D-30.0045
		Written response note: Written notification of the decision to the appellant is required.. Appeals: Specific levels of appeal are required; grievances are logged and tracked until resolved or concluded by actions of the provider's governing board..
FL	Substance Use Residential	Timely receipt of a filed grievance	specific levels of appeal with corresponding time frames for resolution	✓	✓ specific levels of appeal with corresponding time frames for resolution	individual, family member, or authorized guardian; any party may file a grievance for any reason with cause	Fla. Admin. Code r. 65D-30.0045
		Written response note: Written notification of the decision to the appellant is required.. Appeals: Specific levels of appeal are required; grievances are logged and tracked until resolved or concluded by actions of the provider's governing board..
GA	IDD Residential / ICF-IID	—	—	—	✓	any individual (or the individual's guardian or parent of a minor individual, if applicable), the individual's representative, or any staff member	Ga. Comp. R. & Regs. 82-5-1
		Written response note: The regulation requires the Department to establish policies specifying the manner in which the investigator's conclusion is delivered to the individual, but does not itself mandate a written response.. Appeals: Two levels of appeal: (1) appeal of investigator's conclusion reviewed by a disinterested staff member appointed by the Regional Hospital Administrator, whose resolution must be approved by the Regional Hospital Administrator; (2) further appeal to the Commissioner, reviewed by a disinterested DBHDD staff member appointed by the Commissioner, whose resolution must be approved by the Commissioner or designee. No judicial review of these appeals..
GA	Mental Health Residential	—	—	—	✓	any individual (or the individual's guardian or parent of a minor individual, if applicable), the individual's representative, or any staff member	Ga. Comp. R. & Regs. 82-5-1
		Written response note: The regulation requires the Department to establish policies specifying the manner in which the investigator's conclusion is delivered to the individual, but does not itself mandate a written response.. Appeals: Two levels of appeal: (1) appeal of investigator's conclusion reviewed by a disinterested staff member appointed by the Regional Hospital Administrator, whose resolution must be approved by the Regional Hospital Administrator; (2) further appeal to the Commissioner, reviewed by a disinterested DBHDD staff member appointed by the Commissioner, whose resolution must be approved by the Commissioner or designee. No judicial review of these appeals..
GA	Psychiatric Residential Treatment Facility (PRTF)	—	—	—	✓	any individual (or the individual's guardian or parent of a minor individual, if applicable), the individual's representative, or any staff member	Ga. Comp. R. & Regs. 82-5-1
		Written response note: The regulation requires the Department to establish policies specifying the manner in which the investigator's conclusion is delivered to the individual, but does not itself mandate a written response.. Appeals: Two levels of appeal: (1) appeal of investigator's conclusion reviewed by a disinterested staff member appointed by the Regional Hospital Administrator, whose resolution must be approved by the Regional Hospital Administrator; (2) further appeal to the Commissioner, reviewed by a disinterested DBHDD staff member appointed by the Commissioner, whose resolution must be approved by the Commissioner or designee. No judicial review of these appeals..
GA	Psychiatric Facility	—	—	—	✓	any individual (or the individual's guardian or parent of a minor individual, if applicable), the individual's representative, or any staff member	Ga. Comp. R. & Regs. 82-5-1
		Written response note: The regulation requires the Department to establish policies specifying the manner in which the investigator's conclusion is delivered to the individual, but does not itself mandate a written response.. Appeals: Two levels of appeal: (1) appeal of investigator's conclusion reviewed by a disinterested staff member appointed by the Regional Hospital Administrator, whose resolution must be approved by the Regional Hospital Administrator; (2) further appeal to the Commissioner, reviewed by a disinterested DBHDD staff member appointed by the Commissioner, whose resolution must be approved by the Commissioner or designee. No judicial review of these appeals..
HI	Community Mental Health Center (CMHC)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	SUD Detoxification / Withdrawal Management	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Mental Health IOP (Intensive Outpatient)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Mental Health PHP (Partial Hospitalization)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Mental Health Residential	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Opioid Treatment Program (OTP)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Outpatient (MH & SUD)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Psychiatric Residential Treatment Facility (PRTF)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Psychiatric Facility	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Substance Use IOP (Intensive Outpatient)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Substance Use PHP (Partial Hospitalization)	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
HI	Substance Use Residential	—	within fifteen working days of receiving the complaint and every fifteen working days thereafter, until the complaint is resolved	✓	✓ within thirty working days of receipt of the appeal and every thirty days thereafter, until resolved	consumers (persons receiving or who have received mental health or substance use services)	HAR 11-175.1
		Written response note: Complainant must be informed in writing of the progress and results of an investigation, including any remedial actions taken, within fifteen working days of receiving the complaint and every fifteen working days thereafter until resolved.. Appeals: Dissatisfied complainants may appeal to external advocates; appeals filed by a dissatisfied complainant shall be investigated by psychiatric facility staff or designee. Any interested person may also petition the department for a declaratory ruling under HRS §91-8..
IA	Community Mental Health Center (CMHC)	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	SUD Detoxification / Withdrawal Management	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	IDD Community / HCBS	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	IDD Day Habilitation / Day Program	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	IDD Residential / ICF-IID	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	Mental Health IOP (Intensive Outpatient)	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	Mental Health PHP (Partial Hospitalization)	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	Mental Health Residential	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	Opioid Treatment Program (OTP)	—	—	—	—	—	Iowa Admin. Code ch. 641-155
IA	Outpatient (MH & SUD)	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IA	Psychiatric Facility	—	—	—	—	the individual, or the individual's parent, family, guardian, or legal representative on behalf of the individual	Iowa Admin. Code ch. 441-28
IA	Substance Use IOP (Intensive Outpatient)	—	—	—	—	—	Iowa Admin. Code ch. 641-155
IA	Substance Use PHP (Partial Hospitalization)	—	—	—	—	—	Iowa Admin. Code ch. 641-155
IA	Substance Use Residential	—	—	—	✓	individuals using the service and their guardians	Iowa Admin. Code ch. 441-24
		Appeals: The organization provides individuals and their guardians the right to appeal the application of policies, procedures, or any staff action that affects the individual using the service. The organization has established written appeal procedures and a method to ensure that the procedures and appeal process are available to individuals using the service..
IL	Community Mental Health Center (CMHC)	—	—	—	✓	the client or guardian	Ill. Admin. Code tit. 59, § 132
		Written response note: A record of, and the response to, those grievances shall be maintained by the provider, but no written response to the grievant is explicitly required.. Appeals: Grievances may be escalated up to and including the provider's Executive Director or comparable position. The Executive Director's decision is the final administrative decision, except when reviewable by the provider's governing board, in which case the governing board's decision is the final authority at the provider level. Clients also have the right to contact the public payer or its designee and HFS or its designee for grievance review..
IL	SUD Detoxification / Withdrawal Management	—	—	—	✓	client/patient/resident (any person who disagrees with the organization's decision or policies)	Ill. Admin. Code tit. 77, § 2060
		Appeals: The organization shall inform each client/patient/resident of the route of appeal available when a person disagrees with the organization's decision or policies and of how to file a formal complaint with DHS/SUPR..
IL	IDD Community / HCBS	—	—	—	✓	individuals or guardians	Ill. Admin. Code tit. 59, § 115
		Appeals: The CILA agency representative's decision on the grievance shall be subject to review in accordance with the Administrative Review Law [735 ILCS 5/Art. III]. For all individuals enrolled in the DDD Medicaid HCBS Waiver, rights to notices of action, appeals and fair hearings are detailed in 59 Ill. Adm. Code 120..
IL	IDD Residential / ICF-IID	—	—	—	✓	individuals or guardians	Ill. Admin. Code tit. 59, § 115
		Appeals: The CILA agency representative's decision on the grievance shall be subject to review in accordance with the Administrative Review Law [735 ILCS 5/Art. III]. For all individuals enrolled in the DDD Medicaid HCBS Waiver, rights to notices of action, appeals and fair hearings are detailed in 59 Ill. Adm. Code 120..
IL	Mental Health IOP (Intensive Outpatient)	—	—	—	✓	the client or guardian	Ill. Admin. Code tit. 59, § 132
		Written response note: A record of, and the response to, those grievances shall be maintained by the provider, but no written response to the grievant is explicitly required.. Appeals: Grievances may be escalated up to and including the provider's Executive Director or comparable position. The Executive Director's decision is the final administrative decision, except when reviewable by the provider's governing board, in which case the governing board's decision is the final authority at the provider level. Clients also have the right to contact the public payer or its designee and HFS or its designee for grievance review..
IL	Opioid Treatment Program (OTP)	—	—	—	✓	client/patient/resident (any person who disagrees with the organization's decision or policies)	Ill. Admin. Code tit. 77, § 2060
		Appeals: The organization shall inform each client/patient/resident of the route of appeal available when a person disagrees with the organization's decision or policies and of how to file a formal complaint with DHS/SUPR..
IL	Outpatient (MH & SUD)	—	—	—	✓	the client or guardian	Ill. Admin. Code tit. 59, § 132
		Written response note: A record of, and the response to, those grievances shall be maintained by the provider, but no written response to the grievant is explicitly required.. Appeals: Grievances may be escalated up to and including the provider's Executive Director or comparable position. The Executive Director's decision is the final administrative decision, except when reviewable by the provider's governing board, in which case the governing board's decision is the final authority at the provider level. Clients also have the right to contact the public payer or its designee and HFS or its designee for grievance review..
IL	Substance Use IOP (Intensive Outpatient)	—	—	—	✓	client/patient/resident (any person who disagrees with the organization's decision or policies)	Ill. Admin. Code tit. 77, § 2060
		Appeals: The organization shall inform each client/patient/resident of the route of appeal available when a person disagrees with the organization's decision or policies and of how to file a formal complaint with DHS/SUPR..
IL	Substance Use PHP (Partial Hospitalization)	—	—	—	✓	client/patient/resident (any person who disagrees with the organization's decision or policies)	Ill. Admin. Code tit. 77, § 2060
		Appeals: The organization shall inform each client/patient/resident of the route of appeal available when a person disagrees with the organization's decision or policies and of how to file a formal complaint with DHS/SUPR..
IL	Substance Use Residential	—	—	—	✓	client/patient/resident (any person who disagrees with the organization's decision or policies)	Ill. Admin. Code tit. 77, § 2060
		Appeals: The organization shall inform each client/patient/resident of the route of appeal available when a person disagrees with the organization's decision or policies and of how to file a formal complaint with DHS/SUPR..
KY	SUD Detoxification / Withdrawal Management	—	—	✓	✓ time frames for filing and responding to a grievance in writing (specific timeframes not stated)	client (patient)	908 KAR 1:370
		Written response note: Appeals process must include time frames for filing and responding to a grievance in writing.. Appeals: An appeals process with time frames for filing and responding to a grievance in writing must be established; an AODE ombudsman and the cabinet's ombudsman are identified as contacts..
KY	Opioid Treatment Program (OTP)	—	—	✓	✓ time frames for filing and responding to a grievance in writing (specific timeframes not stated)	client (patient)	908 KAR 1:370
		Written response note: Appeals process must include time frames for filing and responding to a grievance in writing.. Appeals: An appeals process with time frames for filing and responding to a grievance in writing must be established; an AODE ombudsman and the cabinet's ombudsman are identified as contacts..
KY	Outpatient (MH & SUD)	—	the period for reviewing and responding to a consumer complaint	—	—	consumer (recipient of prevention services)	908 KAR 1:400
KY	Substance Use IOP (Intensive Outpatient)	—	the period for reviewing and responding to a consumer complaint	✓	✓ time frames for filing and responding to a grievance in writing (specific timeframes not stated)	client (patient)	908 KAR 1:370
		Written response note: Appeals process must include time frames for filing and responding to a grievance in writing.. Appeals: An appeals process with time frames for filing and responding to a grievance in writing must be established; an AODE ombudsman and the cabinet's ombudsman are identified as contacts..
KY	Substance Use PHP (Partial Hospitalization)	—	the period for reviewing and responding to a consumer complaint	✓	✓ time frames for filing and responding to a grievance in writing (specific timeframes not stated)	client (patient)	908 KAR 1:370
		Written response note: Appeals process must include time frames for filing and responding to a grievance in writing.. Appeals: An appeals process with time frames for filing and responding to a grievance in writing must be established; an AODE ombudsman and the cabinet's ombudsman are identified as contacts..
KY	Substance Use Residential	—	the period for reviewing and responding to a consumer complaint	✓	✓ time frames for filing and responding to a grievance in writing (specific timeframes not stated)	client (patient)	908 KAR 1:370
		Written response note: Appeals process must include time frames for filing and responding to a grievance in writing.. Appeals: An appeals process with time frames for filing and responding to a grievance in writing must be established; an AODE ombudsman and the cabinet's ombudsman are identified as contacts..
LA	Applied Behavior Analysis	—	prompt internal resolution	—	✓ 60 calendar days from the date on the notice of action	an enrollee, an enrollee's authorized representative, or a provider on behalf of an enrollee with the enrollee's prior written consent	La. Admin. Code tit. 50, Pt. XXXIII, Subpt. 1
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Certified Community Behavioral Health Clinic (CCBHC)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Community Mental Health Center (CMHC)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 53
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: Clients must be informed in writing of the policies and procedures for initiation, review and resolution of grievances or client complaints. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	SUD Detoxification / Withdrawal Management	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 53
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: Clients must be informed in writing of the policies and procedures for initiation, review and resolution of grievances or client complaints. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	IDD Community / HCBS	—	prompt internal resolution	—	✓ 60 calendar days from the date on the notice of action	an enrollee, an enrollee's authorized representative, or a provider on behalf of an enrollee with the enrollee's prior written consent	La. Admin. Code tit. 50, Pt. XXXIII, Subpt. 1
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	IDD Day Habilitation / Day Program	—	prompt internal resolution	—	✓ 60 calendar days from the date on the notice of action	an enrollee, an enrollee's authorized representative, or a provider on behalf of an enrollee with the enrollee's prior written consent	La. Admin. Code tit. 50, Pt. XXXIII, Subpt. 1
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	IDD Residential / ICF-IID	—	prompt internal resolution	—	✓ 60 calendar days from the date on the notice of action	an enrollee, an enrollee's authorized representative, or a provider on behalf of an enrollee with the enrollee's prior written consent	La. Admin. Code tit. 50, Pt. XXXIII, Subpt. 1
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Mental Health IOP (Intensive Outpatient)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Mental Health PHP (Partial Hospitalization)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Mental Health Residential	—	in a timely manner	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 53
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: Clients must be informed in writing of the policies and procedures for initiation, review and resolution of grievances or client complaints. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Opioid Treatment Program (OTP)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Outpatient (MH & SUD)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 53
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: Clients must be informed in writing of the policies and procedures for initiation, review and resolution of grievances or client complaints. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Psychiatric Residential Treatment Facility (PRTF)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Psychiatric Facility	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 53
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: Clients must be informed in writing of the policies and procedures for initiation, review and resolution of grievances or client complaints. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Substance Use IOP (Intensive Outpatient)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Substance Use PHP (Partial Hospitalization)	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 56
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: The provider shall develop and implement a written grievance procedure; the method for responding to a grievance must be specified in that procedure, but no specific format for the response is mandated in the regulation text.. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
LA	Substance Use Residential	—	prompt internal resolution	✓	✓ 60 calendar days from the date on the notice of action	a client or the client's family or representative	La. Admin. Code tit. 48, Pt. I, ch. 53
		Filing deadline: may file a grievance at any time after an occurrence or incident which is the basis for the grievance. Written response note: Clients must be informed in writing of the policies and procedures for initiation, review and resolution of grievances or client complaints. Appeals: An enrollee, authorized representative, or provider (with enrollee's prior written consent) has 60 calendar days from the date on the notice of action to file an appeal with the MCO or CSoC contractor. Enrollee must exhaust the MCO/CSoC contractor grievance and appeal process before requesting a state fair hearing..
MA	Community Mental Health Center (CMHC)	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	patients (and, if applicable, their legally authorized representative)	104 CMR 27.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: An appeal is initiated by filing a complaint in accordance with 104 CMR 32.00: Investigation and Reporting Responsibilities, and is subject to the provisions thereof. The Human Rights Committee also reviews and makes inquiry into complaints and allegations of patient mistreatment or violation of patient rights..
MA	SUD Detoxification / Withdrawal Management	—	—	✓	✓	patients (and, if applicable, their legally authorized representative)	104 CMR 27.00
		Written response note: The Licensed or Approved Provider shall establish written policy and procedures for the resolution of patients' or residents' disagreement(s) or dispute(s); the grievance procedure must be included in the written patient/resident policy manual.. Appeals: An appeal is initiated by filing a complaint in accordance with 104 CMR 32.00: Investigation and Reporting Responsibilities, and is subject to the provisions thereof. The Human Rights Committee also reviews and makes inquiry into complaints and allegations of patient mistreatment or violation of patient rights..
MA	Mental Health IOP (Intensive Outpatient)	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	the client or the client's legally authorized representative	104 CMR 29.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: Individuals have the right to appeal a denial of DMH services based on clinical criteria or determination of need, and to appeal DMH services planning activities or implementation decisions included in an individual or community service plan, in accordance with 104 CMR 29.16..
MA	Mental Health PHP (Partial Hospitalization)	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	the client or the client's legally authorized representative	104 CMR 29.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: Individuals have the right to appeal a denial of DMH services based on clinical criteria or determination of need, and to appeal DMH services planning activities or implementation decisions included in an individual or community service plan, in accordance with 104 CMR 29.16..
MA	Mental Health Residential	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	patients (and, if applicable, their legally authorized representative)	104 CMR 27.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: An appeal is initiated by filing a complaint in accordance with 104 CMR 32.00: Investigation and Reporting Responsibilities, and is subject to the provisions thereof. The Human Rights Committee also reviews and makes inquiry into complaints and allegations of patient mistreatment or violation of patient rights..
MA	Opioid Treatment Program (OTP)	—	—	✓	✓	patients or residents (implied by context; no explicit third-party filer stated)	105 CMR 164.00
		Written response note: The Licensed or Approved Provider shall establish written policy and procedures for the resolution of patients' or residents' disagreement(s) or dispute(s); the grievance procedure must be included in the written patient/resident policy manual.. Appeals: An appeal process is required for involuntary discharge per 105 CMR 164.075(B); grievance rights for nonemergency involuntary termination are required per 105 CMR 164.080, but the full text of 164.080 was not provided..
MA	Outpatient (MH & SUD)	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	the client or the client's legally authorized representative	104 CMR 29.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: Individuals have the right to appeal a denial of DMH services based on clinical criteria or determination of need, and to appeal DMH services planning activities or implementation decisions included in an individual or community service plan, in accordance with 104 CMR 29.16..
MA	Psychiatric Residential Treatment Facility (PRTF)	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	patients (and, if applicable, their legally authorized representative)	104 CMR 27.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: An appeal is initiated by filing a complaint in accordance with 104 CMR 32.00: Investigation and Reporting Responsibilities, and is subject to the provisions thereof. The Human Rights Committee also reviews and makes inquiry into complaints and allegations of patient mistreatment or violation of patient rights..
MA	Psychiatric Facility	—	within ten business days of notification of the appeal (resolution conference); within 20 days of close of hearing (recommended decision); within 15 business days after receipt of recommended decision (Commissioner's decision)	✓	✓ Appeal must be initiated within ten days after the occurrence of the action or inaction; resolution conference held within ten business days; Area Medical Director renders written decision within 20 business days of receipt.	patients (and, if applicable, their legally authorized representative)	104 CMR 27.00
		Written response note: Commissioner's decision shall include a summary of evidence, findings of fact, a decision on each issue appealed, reasons for the decision, and notice of right to appeal to Superior Court; shall be mailed to the appealing party and legally authorized representative.. Appeals: An appeal is initiated by filing a complaint in accordance with 104 CMR 32.00: Investigation and Reporting Responsibilities, and is subject to the provisions thereof. The Human Rights Committee also reviews and makes inquiry into complaints and allegations of patient mistreatment or violation of patient rights..
MA	Substance Use IOP (Intensive Outpatient)	—	—	✓	✓	patients or residents (implied by context; no explicit third-party filer stated)	105 CMR 164.00
		Written response note: The Licensed or Approved Provider shall establish written policy and procedures for the resolution of patients' or residents' disagreement(s) or dispute(s); the grievance procedure must be included in the written patient/resident policy manual.. Appeals: An appeal process is required for involuntary discharge per 105 CMR 164.075(B); grievance rights for nonemergency involuntary termination are required per 105 CMR 164.080, but the full text of 164.080 was not provided..
MA	Substance Use PHP (Partial Hospitalization)	—	—	✓	✓	patients or residents (implied by context; no explicit third-party filer stated)	105 CMR 164.00
		Written response note: The Licensed or Approved Provider shall establish written policy and procedures for the resolution of patients' or residents' disagreement(s) or dispute(s); the grievance procedure must be included in the written patient/resident policy manual.. Appeals: An appeal process is required for involuntary discharge per 105 CMR 164.075(B); grievance rights for nonemergency involuntary termination are required per 105 CMR 164.080, but the full text of 164.080 was not provided..
MA	Substance Use Residential	—	—	✓	✓	patients (and, if applicable, their legally authorized representative)	104 CMR 27.00
		Written response note: The Licensed or Approved Provider shall establish written policy and procedures for the resolution of patients' or residents' disagreement(s) or dispute(s); the grievance procedure must be included in the written patient/resident policy manual.. Appeals: An appeal is initiated by filing a complaint in accordance with 104 CMR 32.00: Investigation and Reporting Responsibilities, and is subject to the provisions thereof. The Human Rights Committee also reviews and makes inquiry into complaints and allegations of patient mistreatment or violation of patient rights..
MD	Certified Community Behavioral Health Clinic (CCBHC)	—	—	—	✓	the participant	COMAR 10.63
		Appeals: The grievance policy must describe the levels to which the grievance may be taken, implying a multi-level appeals process, but specific appellate body or process is not detailed..
MD	Community Mental Health Center (CMHC)	—	within 30 calendar days of the program's receipt of the complaint	✓	✓	an individual, which includes an adult, a person authorized to consent for an adult, a minor (16+ for self-consented care), a parent, guardian, attorney, custodian, or court-designated representative	COMAR 10.21.17
		Written response note: Written notification of the program's determination must be provided to the individual who filed the complaint and, if the final determination conflicts with the CSA's opinion, to the Administration.. Appeals: Individual may request review by the CSA director or CSA director's designee; if program's final determination conflicts with CSA's opinion, the Administration may review the complaint. For grievances regarding denial of services based on eligibility or medical necessity, the individual may file per COMAR 10.09.70.08..
MD	SUD Detoxification / Withdrawal Management	—	—	—	✓	patient	COMAR 10.47
		Appeals: The grievance description provided to patients upon admission must include the levels to which the grievance may be taken, implying a multi-level appeals process, but specific details are not stated..
MD	Mental Health IOP (Intensive Outpatient)	—	within 30 calendar days of the program's receipt of the complaint	✓	✓	an individual, which includes an adult, a person authorized to consent for an adult, a minor (16+ for self-consented care), a parent, guardian, attorney, custodian, or court-designated representative	COMAR 10.21.17
		Written response note: Written notification of the program's determination must be provided to the individual who filed the complaint and, if the final determination conflicts with the CSA's opinion, to the Administration.. Appeals: Individual may request review by the CSA director or CSA director's designee; if program's final determination conflicts with CSA's opinion, the Administration may review the complaint. For grievances regarding denial of services based on eligibility or medical necessity, the individual may file per COMAR 10.09.70.08..
MD	Mental Health PHP (Partial Hospitalization)	—	within 30 calendar days of the program's receipt of the complaint	✓	✓	an individual, which includes an adult, a person authorized to consent for an adult, a minor (16+ for self-consented care), a parent, guardian, attorney, custodian, or court-designated representative	COMAR 10.21.02
		Written response note: Written notification of the program's determination must be provided to the individual who filed the complaint and, if the final determination conflicts with the CSA's opinion, to the Administration.. Appeals: Program staff shall establish mechanisms for patients to register grievances and for appeal and review. No further detail on the appeals process is specified..
MD	Mental Health Residential	—	within 65 working days	✓	✓ Unit director decides within 5 working days of receipt of the report; residents' rights committee meets within 15 working days of receipt of the grievance	a child or by a child's parent, guardian, or primary caretaker	COMAR 10.21.07
		Written response note: Rights advisor shall prepare written reports for each grievance investigated and notify the grievant of decisions at each stage. Appeals: Grievant has the right to appeal a decision during any stage of the grievance process; rights advisor shall inform grievant of this right and, upon request, file an appeal on the grievant's behalf; LAP representation is available following completion of stage 2; unresolved matters may escalate to the Central Review Committee.
MD	Opioid Treatment Program (OTP)	—	—	—	✓	patient	COMAR 10.47
		Appeals: The grievance description provided to patients upon admission must include the levels to which the grievance may be taken, implying a multi-level appeals process, but specific details are not stated..
MD	Outpatient (MH & SUD)	—	within 30 calendar days of the program's receipt of the complaint	✓	✓	an individual, which includes an adult, a person authorized to consent for an adult, a minor (16+ for self-consented care), a parent, guardian, attorney, custodian, or court-designated representative	COMAR 10.21.17
		Written response note: Written notification of the program's determination must be provided to the individual who filed the complaint and, if the final determination conflicts with the CSA's opinion, to the Administration.. Appeals: Individual may request review by the CSA director or CSA director's designee; if program's final determination conflicts with CSA's opinion, the Administration may review the complaint. For grievances regarding denial of services based on eligibility or medical necessity, the individual may file per COMAR 10.09.70.08..
MD	Psychiatric Residential Treatment Facility (PRTF)	—	within 65 working days	✓	✓ Unit director decides within 5 working days of receipt of the report; residents' rights committee meets within 15 working days of receipt of the grievance	A resident, an employee of a facility, a resident's family member, a legal assistance provider (LAP), or an interested person	COMAR 10.21.14
		Written response note: Rights advisor shall prepare written reports for each grievance investigated and notify the grievant of decisions at each stage. Appeals: Grievant has the right to appeal a decision during any stage of the grievance process; rights advisor shall inform grievant of this right and, upon request, file an appeal on the grievant's behalf; LAP representation is available following completion of stage 2; unresolved matters may escalate to the Central Review Committee.
MD	Psychiatric Facility	—	within 65 working days	✓	✓ Unit director decides within 5 working days of receipt of the report; residents' rights committee meets within 15 working days of receipt of the grievance	A resident, an employee of a facility, a resident's family member, a legal assistance provider (LAP), or an interested person	COMAR 10.21.14
		Written response note: Rights advisor shall prepare written reports for each grievance investigated and notify the grievant of decisions at each stage. Appeals: Grievant has the right to appeal a decision during any stage of the grievance process; rights advisor shall inform grievant of this right and, upon request, file an appeal on the grievant's behalf; LAP representation is available following completion of stage 2; unresolved matters may escalate to the Central Review Committee.
MD	Substance Use IOP (Intensive Outpatient)	—	—	—	✓	patient	COMAR 10.47
		Appeals: The grievance description provided to patients upon admission must include the levels to which the grievance may be taken, implying a multi-level appeals process, but specific details are not stated..
MD	Substance Use PHP (Partial Hospitalization)	—	—	—	✓	patient	COMAR 10.47
		Appeals: The grievance description provided to patients upon admission must include the levels to which the grievance may be taken, implying a multi-level appeals process, but specific details are not stated..
MD	Substance Use Residential	—	—	—	✓	patient	COMAR 10.47
		Appeals: The grievance description provided to patients upon admission must include the levels to which the grievance may be taken, implying a multi-level appeals process, but specific details are not stated..
ME	Applied Behavior Analysis	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Certified Community Behavioral Health Clinic (CCBHC)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Community Mental Health Center (CMHC)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	SUD Detoxification / Withdrawal Management	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	IDD Community / HCBS	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	IDD Day Habilitation / Day Program	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	IDD Residential / ICF-IID	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Mental Health IOP (Intensive Outpatient)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Mental Health PHP (Partial Hospitalization)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Mental Health Residential	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Opioid Treatment Program (OTP)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Outpatient (MH & SUD)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Psychiatric Residential Treatment Facility (PRTF)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Psychiatric Facility	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Substance Use IOP (Intensive Outpatient)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Substance Use PHP (Partial Hospitalization)	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
ME	Substance Use Residential	—	minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	✓	✓ minimally, responses should occur within ten working days at each step of the process, unless time extensions are agreed upon by all parties	Clients	10-144 CMR ch. 123
		Written response note: The organization must provide clients the organization's written grievance procedure; the procedure must be posted visibly and documented in the client record.. Appeals: Review of the complaint or grievance by a party other than staff member(s) involved in the dispute; multi-step process implied by reference to 'each step of the process'..
MN	SUD Detoxification / Withdrawal Management	within 24 hours of the program's receipt of the grievance	—	—	✓	clients (and former clients) of the program	Minn. R. 9530.6540
		Appeals: access to the person with the highest level of authority in the program if the grievance cannot be resolved by other staff members; external escalation to DHS Licensing Division, MN Dept of Health Office of Health Facilities Complaints, MN Dept of Health Alcohol and Drug Counselor Licensing Program, and Office of the Ombudsman for Mental Health and Developmental Disabilities.
MN	Mental Health Residential	—	—	—	—	each resident	Minn. R. 9520.0630
MN	Opioid Treatment Program (OTP)	within 24 hours of the program's receipt of the grievance	—	—	✓	clients (and former clients) of the program	Minn. R. 9530.6540
		Appeals: access to the person with the highest level of authority in the program if the grievance cannot be resolved by other staff members; external escalation to DHS Licensing Division, MN Dept of Health Office of Health Facilities Complaints, MN Dept of Health Alcohol and Drug Counselor Licensing Program, and Office of the Ombudsman for Mental Health and Developmental Disabilities.
MN	Substance Use IOP (Intensive Outpatient)	within 24 hours of the program's receipt of the grievance	—	—	✓	clients (and former clients) of the program	Minn. R. 9530.6540
		Appeals: access to the person with the highest level of authority in the program if the grievance cannot be resolved by other staff members; external escalation to DHS Licensing Division, MN Dept of Health Office of Health Facilities Complaints, MN Dept of Health Alcohol and Drug Counselor Licensing Program, and Office of the Ombudsman for Mental Health and Developmental Disabilities.
MN	Substance Use PHP (Partial Hospitalization)	within 24 hours of the program's receipt of the grievance	—	—	✓	clients (and former clients) of the program	Minn. R. 9530.6540
		Appeals: access to the person with the highest level of authority in the program if the grievance cannot be resolved by other staff members; external escalation to DHS Licensing Division, MN Dept of Health Office of Health Facilities Complaints, MN Dept of Health Alcohol and Drug Counselor Licensing Program, and Office of the Ombudsman for Mental Health and Developmental Disabilities.
MN	Substance Use Residential	within 24 hours of the program's receipt of the grievance	—	—	✓	clients (and former clients) of the program	Minn. R. 9530.6540
		Appeals: access to the person with the highest level of authority in the program if the grievance cannot be resolved by other staff members; external escalation to DHS Licensing Division, MN Dept of Health Office of Health Facilities Complaints, MN Dept of Health Alcohol and Drug Counselor Licensing Program, and Office of the Ombudsman for Mental Health and Developmental Disabilities.
MO	Community Mental Health Center (CMHC)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	SUD Detoxification / Withdrawal Management	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Mental Health IOP (Intensive Outpatient)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Mental Health PHP (Partial Hospitalization)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Mental Health Residential	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Opioid Treatment Program (OTP)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Outpatient (MH & SUD)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Psychiatric Residential Treatment Facility (PRTF)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Psychiatric Facility	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Substance Use IOP (Intensive Outpatient)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Substance Use PHP (Partial Hospitalization)	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MO	Substance Use Residential	—	prompt, responsive	✓	✓	each individual served; family members and other natural supports, parents/guardians, or other caregivers where appropriate	9 CSR 10-7
		Written response note: Written information regarding complaint and appeal procedures is readily accessible to individuals at all times; written acknowledgement of orientation receipt must be documented.. Appeals: Individuals are informed of complaint and appeal procedures; the process to report a violation of rights to the department is also available..
MS	Applied Behavior Analysis	—	within 30 business days of receipt of the grievances (for grievances filed with DMH)	✓	✓	people receiving services (and implicitly their representatives, per rights provisions)	24 Miss. Admin. Code Pt. 2
		Written response note: Providers must have local grievance policies and procedures; written documentation of grievances and investigations is required per Rules 14.7-14.9.. Appeals: Grievances not resolved at the local provider level may be escalated; DMH maintains an external complaint and investigation process per Rule 14.10..
MS	Certified Community Behavioral Health Clinic (CCBHC)	—	within 30 business days of receipt of the grievances (for grievances filed with DMH)	✓	✓	people receiving services (and implicitly their representatives, per rights provisions)	24 Miss. Admin. Code Pt. 2
		Written response note: Providers must have local grievance policies and procedures; written documentation of grievances and investigations is required per Rules 14.7-14.9.. Appeals: Grievances not resolved at the local provider level may be escalated; DMH maintains an external complaint and investigation process per Rule 14.10..
MS	Community Mental Health Center (CMHC)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	SUD Detoxification / Withdrawal Management	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	IDD Community / HCBS	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	IDD Day Habilitation / Day Program	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	IDD Residential / ICF-IID	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Mental Health IOP (Intensive Outpatient)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Mental Health PHP (Partial Hospitalization)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Mental Health Residential	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Opioid Treatment Program (OTP)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Outpatient (MH & SUD)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Psychiatric Residential Treatment Facility (PRTF)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Psychiatric Facility	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Substance Use IOP (Intensive Outpatient)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Substance Use PHP (Partial Hospitalization)	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MS	Substance Use Residential	—	not later than ten (10) working days after the complaint is filed (Investigator-Advocate meeting); HRAC conference within fifteen (15) working days of request; HRAC report no later than fifteen (15) working days after completion of conference	✓	✓ within fifteen (15) working days of the response	the individual receiving services, their legally authorized representative, an Investigator-Advocate, an employee, or any other interested party who believes an individual's rights have been violated	24 Miss. Admin. Code Pt. 1
		Written response note: Request for HRAC conference must be in writing and contain a description of the alleged violation; HRAC submits a written report of findings and recommendations to the Director and other designated parties within 15 working days after the conference.. Appeals: If the complainant is not satisfied with the resolution, they may file an Appeal to the Board of Mental Health requesting a review by the Board, in compliance with the Board's regulation on Appeals..
MT	SUD Detoxification / Withdrawal Management	—	fair and timely manner	—	—	—	ARM 37.27.1
MT	Mental Health Residential	—	—	✓	—	program participant, parent/legal guardian, or authorized representative (implied by rights and grievance policy requirements)	ARM 37.99.1
		Written response note: Any written grievance report must be maintained in the program participant's file and must include the nature of the complaint, the date of the complaint, and a statement indicating how the issue was resolved..
MT	Opioid Treatment Program (OTP)	—	fair and timely manner	—	—	—	ARM 37.27.1
MT	Outpatient (MH & SUD)	—	fair and timely manner	—	—	—	ARM 37.27.1
MT	Substance Use IOP (Intensive Outpatient)	—	fair and timely manner	—	—	—	ARM 37.27.1
MT	Substance Use PHP (Partial Hospitalization)	—	fair and timely manner	—	—	—	ARM 37.27.1
MT	Substance Use Residential	—	fair and timely manner	✓	—	program participant, parent/legal guardian, or authorized representative (implied by rights and grievance policy requirements)	ARM 37.27.1
		Written response note: Any written grievance report must be maintained in the program participant's file and must include the nature of the complaint, the date of the complaint, and a statement indicating how the issue was resolved..
NC	Applied Behavior Analysis	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Certified Community Behavioral Health Clinic (CCBHC)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Community Mental Health Center (CMHC)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	SUD Detoxification / Withdrawal Management	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	IDD Community / HCBS	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	IDD Day Habilitation / Day Program	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	IDD Residential / ICF-IID	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Mental Health IOP (Intensive Outpatient)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Mental Health PHP (Partial Hospitalization)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Mental Health Residential	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Opioid Treatment Program (OTP)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Outpatient (MH & SUD)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Psychiatric Residential Treatment Facility (PRTF)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Psychiatric Facility	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Substance Use IOP (Intensive Outpatient)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Substance Use PHP (Partial Hospitalization)	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
NC	Substance Use Residential	within five working days of receipt	within the 30-day timeline set forth in Paragraph (f) of this Rule	✓	✓ Incidents shall be reported to the area director within 30 days of the initial report and to the area board within 90 days of the initial report.	a client, client advocate, parent, legally responsible person, staff or others	10A NCAC 27G
		Filing deadline: within 15 business days of the date of the notification letter. Written response note: The mediation, administrative proceeding and written decision must be completed within the 30-day timeline; agreements reached in mediation shall be set forth in a mediation agreement.. Appeals: Grievances regarding incidents at a contract agency are reviewed by the area board Client Rights Committee after the contract agency governing body has reviewed the incident and had opportunity to take action..
ND	Certified Community Behavioral Health Clinic (CCBHC)	—	—	—	—	—	NDAC 75-03-44
ND	Community Mental Health Center (CMHC)	—	—	—	—	—	NDAC 33-13-01
ND	SUD Detoxification / Withdrawal Management	—	—	✓	✓	the client (implied by the right of each client to have access to an established client grievance procedure)	NDAC 75-09.1-01
		Written response note: The procedure must be written in language that is understandable to the client and must be provided to the client in a timely manner.. Appeals: A program shall implement a written policy stating the form and manner in which a client may file an appeal of a program decision..
ND	IDD Community / HCBS	—	—	—	—	—	NDAC 33-13-01
ND	Opioid Treatment Program (OTP)	—	—	✓	✓	the client (implied by the right of each client to have access to an established client grievance procedure)	NDAC 75-09.1-01
		Written response note: The procedure must be written in language that is understandable to the client and must be provided to the client in a timely manner.. Appeals: A program shall implement a written policy stating the form and manner in which a client may file an appeal of a program decision..
ND	Outpatient (MH & SUD)	—	—	✓	✓	the client (implied by the right of each client to have access to an established client grievance procedure)	NDAC 75-09.1-01
		Written response note: The procedure must be written in language that is understandable to the client and must be provided to the client in a timely manner.. Appeals: A program shall implement a written policy stating the form and manner in which a client may file an appeal of a program decision..
ND	Substance Use IOP (Intensive Outpatient)	—	—	✓	✓	the client (implied by the right of each client to have access to an established client grievance procedure)	NDAC 75-09.1-01
		Written response note: The procedure must be written in language that is understandable to the client and must be provided to the client in a timely manner.. Appeals: A program shall implement a written policy stating the form and manner in which a client may file an appeal of a program decision..
ND	Substance Use PHP (Partial Hospitalization)	—	—	✓	✓	the client (implied by the right of each client to have access to an established client grievance procedure)	NDAC 75-09.1-01
		Written response note: The procedure must be written in language that is understandable to the client and must be provided to the client in a timely manner.. Appeals: A program shall implement a written policy stating the form and manner in which a client may file an appeal of a program decision..
ND	Substance Use Residential	—	—	✓	✓	the client (implied by the right of each client to have access to an established client grievance procedure)	NDAC 75-09.1-01
		Written response note: The procedure must be written in language that is understandable to the client and must be provided to the client in a timely manner.. Appeals: A program shall implement a written policy stating the form and manner in which a client may file an appeal of a program decision..
NE	Community Mental Health Center (CMHC)	—	in a timely manner	—	✓	clients receiving secure psychiatric residential rehabilitation services	471 NAC 35
		Appeals: A client has the right to appeal under 465 NAC 2-001.02 and 42 CFR 431, Subpart E. Hearings are conducted according to 465 NAC 6-000 and 42 CFR 431, Subpart E. This is a Medicaid fair hearing/appeals process, not a facility-level patient grievance procedure..
NE	Mental Health IOP (Intensive Outpatient)	—	in a timely manner	—	✓	clients receiving secure psychiatric residential rehabilitation services	471 NAC 35
		Appeals: A client has the right to appeal under 465 NAC 2-001.02 and 42 CFR 431, Subpart E. Hearings are conducted according to 465 NAC 6-000 and 42 CFR 431, Subpart E. This is a Medicaid fair hearing/appeals process, not a facility-level patient grievance procedure..
NE	Mental Health Residential	—	in a timely manner	—	✓	clients receiving secure psychiatric residential rehabilitation services	471 NAC 35
		Appeals: A client has the right to appeal under 465 NAC 2-001.02 and 42 CFR 431, Subpart E. Hearings are conducted according to 465 NAC 6-000 and 42 CFR 431, Subpart E. This is a Medicaid fair hearing/appeals process, not a facility-level patient grievance procedure..
NE	Outpatient (MH & SUD)	—	in a timely manner	—	✓	clients receiving secure psychiatric residential rehabilitation services	471 NAC 35
		Appeals: A client has the right to appeal under 465 NAC 2-001.02 and 42 CFR 431, Subpart E. Hearings are conducted according to 465 NAC 6-000 and 42 CFR 431, Subpart E. This is a Medicaid fair hearing/appeals process, not a facility-level patient grievance procedure..
NE	Substance Use IOP (Intensive Outpatient)	—	in a timely manner	—	✓	clients receiving secure psychiatric residential rehabilitation services	471 NAC 35
		Appeals: A client has the right to appeal under 465 NAC 2-001.02 and 42 CFR 431, Subpart E. Hearings are conducted according to 465 NAC 6-000 and 42 CFR 431, Subpart E. This is a Medicaid fair hearing/appeals process, not a facility-level patient grievance procedure..
NH	Community Mental Health Center (CMHC)	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	IDD Community / HCBS	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	IDD Day Habilitation / Day Program	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	IDD Residential / ICF-IID	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	Mental Health Residential	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	Outpatient (MH & SUD)	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	Psychiatric Residential Treatment Facility (PRTF)	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NH	Psychiatric Facility	as soon as possible but not later than one business day following receipt, OCLS shall submit the complaint to a complaint investigator	within 15 business days of the filing of the complaint	✓	✓ within 10 business days of receipt of the report; bureau administrator shall issue a final written decision within 10 business days of a request	any person including the individual, the individual's guardian or family member, an applicant for services, or an employee/contractor/consultant/volunteer of the department, area agency, or program	He-M 200
		Filing deadline: Within 30 days of receipt of a final determination. Written response note: Oral complaints must be put in writing by the receiving entity if the complainant cannot or will not do so; no specified written response to the complainant is required by the excerpted text.. Appeals: At any time during informal resolution, the individual or guardian may request a formal investigation; informal resolution may be bypassed in favor of formal complaint investigation pursuant to He-M 202.07..
NJ	Community Mental Health Center (CMHC)	—	Complaints shall be investigated and negotiated within five working days; written report of findings submitted within seven working days of the complaint	✓	✓ County Mental Health Board shall receive and review within five working days and make findings known within seven working days; Division Director shall submit recommendations within seven working days; expedited direct Division review completed within 72	Any client, applicant, or person who has been a client within the last three months, or his/her designee, parent or guardian	§ 10:37A-9.3 - Complaint process; ombudsperson
		Written response note: Agency Ombudsperson shall submit a written report of findings, resolutions and/or recommendations to the Agency Director and to the client within seven working days of the complaint. Appeals: If unresolved by Agency Ombudsperson, client may request review by Agency Director; then by County Mental Health Board (findings within 7 working days); then by the Division directly and in confidence at any time, including expedited review completed within 72 hours.
NJ	SUD Detoxification / Withdrawal Management	—	—	—	—	clients and their families	§ 10:161B-16.3 - Complaints
NJ	Mental Health IOP (Intensive Outpatient)	—	Complaints shall be investigated and negotiated within five working days; written report of findings submitted within seven working days of the complaint	✓	✓ County Mental Health Board shall receive and review within five working days and make findings known within seven working days; Division Director shall submit recommendations within seven working days; expedited direct Division review completed within 72	Any client, applicant, or person who has been a client within the last three months, or his/her designee, parent or guardian	§ 10:37-4.6 - Client complaint/agency ombuds procedure
		Written response note: Agency Ombudsperson shall submit a written report of findings, resolutions and/or recommendations to the Agency Director and to the client within seven working days of the complaint. Appeals: If unresolved by Agency Ombudsperson, client may request review by Agency Director; then by County Mental Health Board (findings within 7 working days); then by the Division directly and in confidence at any time, including expedited review completed within 72 hours.
NJ	Mental Health PHP (Partial Hospitalization)	—	Complaints shall be investigated and negotiated within five working days; written report of findings submitted within seven working days of the complaint	✓	✓ County Mental Health Board shall receive and review within five working days and make findings known within seven working days; Division Director shall submit recommendations within seven working days; expedited direct Division review completed within 72	Any client, applicant, or person who has been a client within the last three months, or his/her designee, parent or guardian	§ 10:37-4.6 - Client complaint/agency ombuds procedure
		Written response note: Agency Ombudsperson shall submit a written report of findings, resolutions and/or recommendations to the Agency Director and to the client within seven working days of the complaint. Appeals: If unresolved by Agency Ombudsperson, client may request review by Agency Director; then by County Mental Health Board (findings within 7 working days); then by the Division directly and in confidence at any time, including expedited review completed within 72 hours.
NJ	Mental Health Residential	—	Complaints shall be investigated and negotiated within five working days; written report of findings submitted within seven working days of the complaint	✓	✓ County Mental Health Board shall receive and review within five working days and make findings known within seven working days; Division Director shall submit recommendations within seven working days; expedited direct Division review completed within 72	a consumer of the PA, or his or her designee	§ 10:37A-9.2 - Development of residential complaint procedures
		Written response note: Implementation of the complaint procedure shall be documented in the consumer's clinical record, but no written response to the consumer is explicitly required.. Appeals: If unresolved by Agency Ombudsperson, client may request review by Agency Director; then by County Mental Health Board (findings within 7 working days); then by the Division directly and in confidence at any time, including expedited review completed within 72 hours.
NJ	Opioid Treatment Program (OTP)	—	—	—	—	clients and their families	§ 10:161B-16.3 - Complaints
NJ	Outpatient (MH & SUD)	—	Complaints shall be investigated and negotiated within five working days; written report of findings submitted within seven working days of the complaint	✓	✓ County Mental Health Board shall receive and review within five working days and make findings known within seven working days; Division Director shall submit recommendations within seven working days; expedited direct Division review completed within 72	each client receiving services, individually or as a group, or through outside representatives of his or her choice	§ 10:161B-16.2 - Rights of each client
		Written response note: Agency Ombudsperson shall submit a written report of findings, resolutions and/or recommendations to the Agency Director and to the client within seven working days of the complaint. Appeals: If unresolved by Agency Ombudsperson, client may request review by Agency Director; then by County Mental Health Board (findings within 7 working days); then by the Division directly and in confidence at any time, including expedited review completed within 72 hours.
NJ	Substance Use IOP (Intensive Outpatient)	—	—	—	—	each client receiving services, individually or as a group, or through outside representatives of his or her choice	§ 10:161B-16.2 - Rights of each client
NJ	Substance Use PHP (Partial Hospitalization)	—	—	—	—	each client receiving services, individually or as a group, or through outside representatives of his or her choice	§ 10:161B-16.2 - Rights of each client
NJ	Substance Use Residential	—	—	—	—	clients and their families	§ 10:161B-16.3 - Complaints
NM	Certified Community Behavioral Health Clinic (CCBHC)	—	timely resolution	✓	✓	Consumers, their families or legal guardians, and designated representatives	7.21.2 NMAC
		Written response note: BHE and provider shall have written policies and procedures for the timely resolution of client or provider complaints or grievances. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Community Mental Health Center (CMHC)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	SUD Detoxification / Withdrawal Management	—	within five days	✓	✓	Consumers, their families or legal guardians, and designated representatives	7.21.2 NMAC
		Written response note: BHE and provider shall have written policies and procedures for the timely resolution of client or provider complaints or grievances. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Mental Health IOP (Intensive Outpatient)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Mental Health PHP (Partial Hospitalization)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Mental Health Residential	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Opioid Treatment Program (OTP)	—	in a fair and timely manner	✓	✓	Consumers, their families or legal guardians, and designated representatives	7.21.2 NMAC
		Written response note: BHE and provider shall have written policies and procedures for the timely resolution of client or provider complaints or grievances. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Outpatient (MH & SUD)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Psychiatric Residential Treatment Facility (PRTF)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Psychiatric Facility	—	timely resolution	✓	✓	Consumers, their families or legal guardians, and designated representatives	7.21.2 NMAC
		Written response note: BHE and provider shall have written policies and procedures for the timely resolution of client or provider complaints or grievances. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Substance Use IOP (Intensive Outpatient)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Substance Use PHP (Partial Hospitalization)	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NM	Substance Use Residential	—	in a timely manner	✓	✓	the complaining party and, as applicable, the parent, legal or treatment guardian	7.20.11 NMAC
		Written response note: The agency provides a written response, in a timely manner, to the complaining party and, as applicable, the parent, legal or treatment guardian, regarding the resolution of each complaint or allegation.. Appeals: BHE shall comply with 8.305.12 NMAC and 8.349.2 NMAC regarding grievances and appeals; consumers have a right to file grievances and appeals about care provided by the BHE or provider in its network.
NV	Applied Behavior Analysis	—	—	—	—	—	NAC 449
NV	Certified Community Behavioral Health Clinic (CCBHC)	—	—	—	—	—	NAC 449
NV	Community Mental Health Center (CMHC)	—	—	—	—	—	NAC 449
NV	SUD Detoxification / Withdrawal Management	—	—	—	✓	clients, participants, and staff	NAC 449
		Appeals: clients, participants, and staff have the right to appeal without threat of reprisal.
NV	IDD Community / HCBS	—	—	—	—	—	NAC 449
NV	IDD Day Habilitation / Day Program	—	—	—	—	—	NAC 449
NV	IDD Residential / ICF-IID	—	—	—	—	—	NAC 449
NV	Mental Health IOP (Intensive Outpatient)	—	—	—	—	—	NAC 449
NV	Mental Health PHP (Partial Hospitalization)	—	—	—	—	—	NAC 449
NV	Mental Health Residential	—	—	—	—	—	NAC 449
NV	Opioid Treatment Program (OTP)	—	—	—	✓	clients, participants, and staff	NAC 449
		Appeals: clients, participants, and staff have the right to appeal without threat of reprisal.
NV	Outpatient (MH & SUD)	—	—	—	✓	clients, participants, and staff	NAC 449
		Appeals: clients, participants, and staff have the right to appeal without threat of reprisal.
NV	Psychiatric Residential Treatment Facility (PRTF)	—	—	—	—	—	NAC 449
NV	Psychiatric Facility	—	—	—	—	—	NAC 449
NV	Substance Use IOP (Intensive Outpatient)	—	—	—	✓	clients, participants, and staff	NAC 449
		Appeals: clients, participants, and staff have the right to appeal without threat of reprisal.
NV	Substance Use PHP (Partial Hospitalization)	—	—	—	✓	clients, participants, and staff	NAC 449
		Appeals: clients, participants, and staff have the right to appeal without threat of reprisal.
NV	Substance Use Residential	—	—	—	✓	clients, participants, and staff	NAC 449
		Appeals: clients, participants, and staff have the right to appeal without threat of reprisal.
NY	Community Mental Health Center (CMHC)	—	timely review and resolution	✓	✓	recipients (individuals receiving services)	§ 599.6 - Organization and administration
		Written response note: Written policies and procedures describing an individual grievance process are required; the regulation mandates a written policy but does not specify the format of the response to the grievant.. Appeals: Recipients may request review by the Office (NY Office of Mental Health) when resolution is not satisfactory..
NY	SUD Detoxification / Withdrawal Management	—	timely response and/or resolution	—	—	patient (including client, resident, consumer, customer, participant, or current/former service recipient)	14 NYCRR Part 815
		Written response note: Upon admission, patients shall be informed that if they wish to express a concern or grievance, they will be provided documents to initiate such grievance and resolution process upon request. Grievance policy and procedures must be posted prominently..
NY	IDD Community / HCBS	—	—	—	✓	the individual, or their parent(s), guardian(s), or correspondent	§ 633.4 - Rights and responsibilities of persons receiving services
		Appeals: Individual or their parent(s), guardian(s), or correspondent may object to the application, adaptation or denial of any stated rights in accordance with section 633.12 of this Part; grievances may also be directed to the chief executive officer of the facility, the Commissioner of OPWDD, the Justice Center, Mental Hygiene Legal Service, board of visitors, or ombudsman..
NY	IDD Day Habilitation / Day Program	—	—	—	✓	the individual, or their parent(s), guardian(s), or correspondent	§ 633.4 - Rights and responsibilities of persons receiving services
		Appeals: Individual or their parent(s), guardian(s), or correspondent may object to the application, adaptation or denial of any stated rights in accordance with section 633.12 of this Part; grievances may also be directed to the chief executive officer of the facility, the Commissioner of OPWDD, the Justice Center, Mental Hygiene Legal Service, board of visitors, or ombudsman..
NY	IDD Residential / ICF-IID	—	—	—	✓	the individual, or their parent(s), guardian(s), or correspondent	§ 633.4 - Rights and responsibilities of persons receiving services
		Appeals: Individual or their parent(s), guardian(s), or correspondent may object to the application, adaptation or denial of any stated rights in accordance with section 633.12 of this Part; grievances may also be directed to the chief executive officer of the facility, the Commissioner of OPWDD, the Justice Center, Mental Hygiene Legal Service, board of visitors, or ombudsman..
NY	Mental Health IOP (Intensive Outpatient)	—	timely response and/or resolution	✓	✓	recipients (patients)	§ 587.6 - Organization and administration
		Written response note: Written policies and procedures describing a recipient grievance process are required; no further format or content specifications are stated beyond timely review and resolution.. Appeals: Recipients may request review by the Office of Mental Health when resolution is not satisfactory..
NY	Mental Health PHP (Partial Hospitalization)	—	timely response and/or resolution	✓	✓	recipients (patients)	§ 587.6 - Organization and administration
		Written response note: Written policies and procedures describing a recipient grievance process are required; no further format or content specifications are stated beyond timely review and resolution.. Appeals: Recipients may request review by the Office of Mental Health when resolution is not satisfactory..
NY	Mental Health Residential	—	timely review and resolution	✓	✓ Within 14 days, the Office of Mental Health will review the circumstances surrounding the disagreement and make a recommendation concerning a course of action to be taken.	residents	§ 595.6 - Organization and administration
		Written response note: Written policies and procedures describing a resident grievance process are required; no specific format for the written response to the grievant is detailed beyond the policy requirement.. Appeals: Residents may request review by the appropriate field office of the Office of Mental Health when resolution is not satisfactory..
NY	Opioid Treatment Program (OTP)	—	timely response and/or resolution	—	—	patient (including client, resident, consumer, customer, participant, or current/former service recipient)	14 NYCRR Part 815
		Written response note: Upon admission, patients shall be informed that if they wish to express a concern or grievance, they will be provided documents to initiate such grievance and resolution process upon request. Grievance policy and procedures must be posted prominently..
NY	Outpatient (MH & SUD)	—	timely response and/or resolution	✓	✓	recipients (individuals receiving services)	§ 600.7 - Organization and administration
		Written response note: Written policies and procedures describing an individual grievance process are required; the regulation mandates a written policy but does not specify the format of the response to the grievant.. Appeals: Recipients may request review by the Office (NY Office of Mental Health) when resolution is not satisfactory..
NY	Psychiatric Residential Treatment Facility (PRTF)	—	timely review and resolution	✓	✓	residents or family members	§ 594.6 - Organization and administration
		Written response note: Policies and procedures must be in writing describing the resident grievance process; no further content format specified beyond timely review and resolution.. Appeals: Residents or family members may request review by the Office of Mental Health when resolution is not satisfactory..
NY	Psychiatric Facility	—	timely response and/or resolution	—	—	patient (including client, resident, consumer, customer, participant, or current/former service recipient)	§ 590.6 - Organization and administration
		Written response note: Upon admission, patients shall be informed that if they wish to express a concern or grievance, they will be provided documents to initiate such grievance and resolution process upon request. Grievance policy and procedures must be posted prominently..
NY	Substance Use IOP (Intensive Outpatient)	—	timely response and/or resolution	—	—	patient (including client, resident, consumer, customer, participant, or current/former service recipient)	14 NYCRR Part 815
		Written response note: Upon admission, patients shall be informed that if they wish to express a concern or grievance, they will be provided documents to initiate such grievance and resolution process upon request. Grievance policy and procedures must be posted prominently..
NY	Substance Use PHP (Partial Hospitalization)	—	timely response and/or resolution	—	—	patient (including client, resident, consumer, customer, participant, or current/former service recipient)	14 NYCRR Part 815
		Written response note: Upon admission, patients shall be informed that if they wish to express a concern or grievance, they will be provided documents to initiate such grievance and resolution process upon request. Grievance policy and procedures must be posted prominently..
NY	Substance Use Residential	—	timely response and/or resolution	—	✓	patient (including client, resident, consumer, customer, participant, or current/former service recipient)	14 NYCRR Part 815
		Written response note: Upon admission, patients shall be informed that if they wish to express a concern or grievance, they will be provided documents to initiate such grievance and resolution process upon request. Grievance policy and procedures must be posted prominently.. Appeals: Residents have a right to appeal any decision to terminate residency; procedures must be consistent with guidance issued by the Office and New York State Real Property Actions and Proceedings Law if applicable..
OH	Certified Community Behavioral Health Clinic (CCBHC)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Community Mental Health Center (CMHC)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	SUD Detoxification / Withdrawal Management	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	IDD Residential / ICF-IID	within three business days from receipt of the grievance	twenty-one calendar days	✓	✓	a resident or by any other person or agency on behalf of a resident	OAC 5122-30
		Written response note: Facility must maintain records of grievances for at least three years from resolution, including a copy of the grievance, documentation of process used and resolution/remedy, and documentation of extenuating circumstances if resolution exceeded twenty-one calendar days.. Appeals: Resident has the option to file a grievance with outside organizations including the applicable board, Ohio MHAS, Disability Rights Ohio, or U.S. HHS Civil Rights Regional Office in Chicago..
OH	Mental Health IOP (Intensive Outpatient)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Mental Health PHP (Partial Hospitalization)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Mental Health Residential	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Opioid Treatment Program (OTP)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Outpatient (MH & SUD)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Psychiatric Residential Treatment Facility (PRTF)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Psychiatric Facility	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Substance Use IOP (Intensive Outpatient)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Substance Use PHP (Partial Hospitalization)	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OH	Substance Use Residential	within three business days from receipt of the grievance	twenty business days	✓	✓	a client or any other person or provider on behalf of a client	OAC 5122-26
		Written response note: Grievance is defined as a written complaint initiated either verbally or in writing; the regulation requires written client rights and grievance procedures but the full resolution/response details are truncated in the provided text.. Appeals: Client has the option to file a grievance with outside organizations including the applicable board of alcohol, drug addiction, and mental health services; Ohio Department of Mental Health and Addiction Services; Disability Rights Ohio; or U.S. Department of Health and Human Services, Civil Rights Regional Office in Chicago..
OK	Applied Behavior Analysis	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Certified Community Behavioral Health Clinic (CCBHC)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Community Mental Health Center (CMHC)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	SUD Detoxification / Withdrawal Management	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	IDD Community / HCBS	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	IDD Day Habilitation / Day Program	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	IDD Residential / ICF-IID	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Mental Health IOP (Intensive Outpatient)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Mental Health PHP (Partial Hospitalization)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Mental Health Residential	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Opioid Treatment Program (OTP)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Outpatient (MH & SUD)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Psychiatric Residential Treatment Facility (PRTF)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Psychiatric Facility	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Substance Use IOP (Intensive Outpatient)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Substance Use PHP (Partial Hospitalization)	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OK	Substance Use Residential	—	fair, timely and impartial grievance procedure	✓	✓	a consumer (with respect to an alleged infringement of his or her rights)	OAC 450:15
		Written response note: Written resolution of the grievance shall be forwarded to the Department's Office of Consumer Advocacy within 24 hours of the written notice being delivered to the consumer.. Appeals: Consumer may appeal grievance outcome; ODMHSAS operated facility procedures shall include a process by which the consumer may appeal the grievance outcome to the Commissioner or designee. Consumer also has unimpeded access to ODMHSAS Office of Consumer Advocacy without first contacting the facility's local advocate..
OR	Certified Community Behavioral Health Clinic (CCBHC)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Community Mental Health Center (CMHC)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	SUD Detoxification / Withdrawal Management	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of the written response	an individual or the individual's chosen representative	OAR 309-018
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Individuals have the right to file grievances, including appealing decisions resulting from the grievance, per OAR 309-018-0115(1)(r). Providers must develop written policies and procedures for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Mental Health IOP (Intensive Outpatient)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Mental Health PHP (Partial Hospitalization)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Mental Health Residential	Within five calendar days of receipt of the grievance, the program administrator must meet with the resident to discuss the grievance	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; CMHP Director or Division shall provide a written response within ten working days of receipt of the appeal	an individual or the individual's chosen representative	OAR 309-022
		Filing deadline: within ten calendar days of the date of the program administrator's decision to the grievance, or notification of admission denial. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Individual has the right to file grievances, including appealing decisions resulting from the grievance; no further procedural detail provided in this regulation..
OR	Opioid Treatment Program (OTP)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Outpatient (MH & SUD)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Psychiatric Residential Treatment Facility (PRTF)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; CMHP Director or Division shall provide a written response within ten working days of receipt of the appeal	an individual or the individual's chosen representative	OAR 309-022
		Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Individual has the right to file grievances, including appealing decisions resulting from the grievance; no further procedural detail provided in this regulation..
OR	Psychiatric Facility	within 7 calendar days of the Grievance Form being received, the Grievance Committee shall notify the patient or their representative in writing that their grievance is being reviewed (if extended)	within 7 calendar days	✓	✓ OSH Review request within 14 calendar days of Grievance Committee response; OHA Review request within 14 calendar days of OSH Review response or 28 calendar days of OSH Review request if no response received; OHA Director responds within 21 calendar days	the person being transferred, or the legal guardian of the person being transferred	OAR 309-032
		Written response note: The grievance procedure shall include written responses, time limits for responses, use of a neutral party, and a method of appeal.. Appeals: A method of appeal is required as part of the grievance procedure; no further detail on the appeals body or process is specified..
OR	Substance Use IOP (Intensive Outpatient)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Substance Use PHP (Partial Hospitalization)	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of written response	an individual or the individual's representative	OAR 309-019
		Filing deadline: within ten working days of the date of the program administrator's response to the grievance or notification of denial for services. Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Providers must develop and implement written policies for grievances and appeals, including an example grievance form, per ORS 413.046..
OR	Substance Use Residential	—	within 30 calendar days	✓	✓ within ten working days of the date of the program administrator's response; Division responds within ten working days of receipt; second appeal within ten working days of the written response	an individual or the individual's chosen representative	OAR 309-018
		Written response note: For expedited review, the program administrator shall respond in writing within 48 hours; written response shall include information about the appeal process.. Appeals: Individuals have the right to file grievances, including appealing decisions resulting from the grievance, per OAR 309-018-0115(1)(r). Providers must develop written policies and procedures for grievances and appeals, including an example grievance form, per ORS 413.046..
PA	Community Mental Health Center (CMHC)	—	Complaints and suggestions shall be heard and decided promptly.	✓	✓ within 10 working days of the decision; second level committee recommendation within 10 working days of receipt	Every patient (implied; the regulation references 'the patient' throughout Article VII grievance provisions and Article I right to make complaints)	Pa. Code 5100.54
		Written response note: A written decision shall be rendered; the patient shall be given a copy of the complaint and final decision, and a copy shall be filed in the patient's record.. Appeals: Article VII provides a First Level Appeal and a Second Level Appeal, though the full text of those subsections is not included in the excerpt provided..
PA	Mental Health Residential	—	Complaints and suggestions shall be heard and decided promptly.	✓	✓ within 10 working days of the decision; second level committee recommendation within 10 working days of receipt	resident	Pa. Code 5320.22
		Written response note: Written response must be provided to the resident by the program director when informal methods of resolving complaints are unsuccessful.. Appeals: Article VII provides a First Level Appeal and a Second Level Appeal, though the full text of those subsections is not included in the excerpt provided..
PA	Opioid Treatment Program (OTP)	—	—	—	—	aggrieved patients	Pa. Code 715.9
PA	Psychiatric Residential Treatment Facility (PRTF)	—	Complaints and suggestions shall be heard and decided promptly.	✓	✓ within 10 working days of the decision; second level committee recommendation within 10 working days of receipt	Every patient (implied; the regulation references 'the patient' throughout Article VII grievance provisions and Article I right to make complaints)	Pa. Code 5100.54
		Written response note: A written decision shall be rendered; the patient shall be given a copy of the complaint and final decision, and a copy shall be filed in the patient's record.. Appeals: Article VII provides a First Level Appeal and a Second Level Appeal, though the full text of those subsections is not included in the excerpt provided..
PA	Psychiatric Facility	—	Complaints and suggestions shall be heard and decided promptly.	✓	✓ within 10 working days of the decision; second level committee recommendation within 10 working days of receipt	Every patient (implied; the regulation references 'the patient' throughout Article VII grievance provisions and Article I right to make complaints)	Pa. Code 5100.54
		Written response note: A written decision shall be rendered; the patient shall be given a copy of the complaint and final decision, and a copy shall be filed in the patient's record.. Appeals: Article VII provides a First Level Appeal and a Second Level Appeal, though the full text of those subsections is not included in the excerpt provided..
RI	Community Mental Health Center (CMHC)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	SUD Detoxification / Withdrawal Management	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	IDD Community / HCBS	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	IDD Day Habilitation / Day Program	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	IDD Residential / ICF-IID	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Mental Health IOP (Intensive Outpatient)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Mental Health PHP (Partial Hospitalization)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Mental Health Residential	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Opioid Treatment Program (OTP)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Outpatient (MH & SUD)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Psychiatric Residential Treatment Facility (PRTF)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Psychiatric Facility	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Substance Use IOP (Intensive Outpatient)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Substance Use PHP (Partial Hospitalization)	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
RI	Substance Use Residential	—	within ten (10) business days of receipt of the grievance	✓	✓	the person served	212-RICR-10-10-01
		Written response note: The written decision shall include a copy of the grievance, a list of persons interviewed in the investigation, the steps taken to resolve the grievance, and the conclusion of the BHO director or his or her designee.. Appeals: If the person is not satisfied with the outcome of the grievance proceedings, the person may file for an administrative hearing in accordance with the Appeals Process and Procedures for EOHHS Agencies and Programs, 210-RICR-10-05-2..
SC	SUD Detoxification / Withdrawal Management	—	—	—	—	Patient (implied, as grievance and/or complaint procedures are listed as a patient right)	SC Reg 60-93
SC	Mental Health Residential	—	—	—	—	residents (or on behalf of residents, per the grievance procedure exercised on behalf of the residents)	SC Reg 60-103
SC	Opioid Treatment Program (OTP)	—	—	—	—	Patient (implied, as grievance and/or complaint procedures are listed as a patient right)	SC Reg 60-93
SC	Psychiatric Residential Treatment Facility (PRTF)	—	—	—	—	residents (or on behalf of residents, per the grievance procedure exercised on behalf of the residents)	SC Reg 60-103
SC	Psychiatric Facility	—	—	—	—	—	SC Reg 60-125
SC	Substance Use IOP (Intensive Outpatient)	—	—	—	—	Patient (implied, as grievance and/or complaint procedures are listed as a patient right)	SC Reg 60-93
SC	Substance Use PHP (Partial Hospitalization)	—	—	—	—	Patient (implied, as grievance and/or complaint procedures are listed as a patient right)	SC Reg 60-93
SC	Substance Use Residential	—	—	—	—	Patient (implied, as grievance and/or complaint procedures are listed as a patient right)	SC Reg 60-93
SD	Community Mental Health Center (CMHC)	—	—	—	✓ appeal must be made within thirty days of receiving the notice regarding ineligibility or termination of services; department shall provide a determination within thirty days of receipt; fair hearing must be held within ninety days after receiving a reque	client (grievance procedures discussed with client at intake)	ARSD 67:62
		Appeals: Appeal of ineligibility or termination of services is addressed in § 67:62:07:05, with hearing procedures in § 67:62:07:06.
SD	SUD Detoxification / Withdrawal Management	—	—	—	✓ appeal must be made within thirty days of receiving notice of the decision; department shall provide determination within thirty days; fair hearing must be held within ninety days after receiving the request	client, client's parent (if client is under age 18), or client's guardian; former clients may also access the policy upon request	ARSD 67:61
		Appeals: Client, parent, or guardian may appeal the agency's decision regarding ineligibility or termination of services to the department in writing within 30 days of receiving notice. The department shall provide a determination within 30 days. If dissatisfied, a fair hearing may be requested in writing within 30 days of the department's decision. A fair hearing by an impartial hearing officer must be held within 90 days of the request..
SD	Mental Health IOP (Intensive Outpatient)	—	—	—	✓ appeal must be made within thirty days of receiving the notice regarding ineligibility or termination of services; department shall provide a determination within thirty days of receipt; fair hearing must be held within ninety days after receiving a reque	client (grievance procedures discussed with client at intake)	ARSD 67:62
		Appeals: Appeal of ineligibility or termination of services is addressed in § 67:62:07:05, with hearing procedures in § 67:62:07:06.
SD	Mental Health Residential	—	—	—	—	—	ARSD 67:63
SD	Opioid Treatment Program (OTP)	—	—	—	✓ appeal must be made within thirty days of receiving notice of the decision; department shall provide determination within thirty days; fair hearing must be held within ninety days after receiving the request	client, client's parent (if client is under age 18), or client's guardian; former clients may also access the policy upon request	ARSD 67:61
		Appeals: Client, parent, or guardian may appeal the agency's decision regarding ineligibility or termination of services to the department in writing within 30 days of receiving notice. The department shall provide a determination within 30 days. If dissatisfied, a fair hearing may be requested in writing within 30 days of the department's decision. A fair hearing by an impartial hearing officer must be held within 90 days of the request..
SD	Outpatient (MH & SUD)	—	—	—	✓ appeal must be made within thirty days of receiving notice of the decision; department shall provide determination within thirty days; fair hearing must be held within ninety days after receiving the request	client, client's parent (if client is under age 18), or client's guardian; former clients may also access the policy upon request	ARSD 67:61
		Appeals: Client, parent, or guardian may appeal the agency's decision regarding ineligibility or termination of services to the department in writing within 30 days of receiving notice. The department shall provide a determination within 30 days. If dissatisfied, a fair hearing may be requested in writing within 30 days of the department's decision. A fair hearing by an impartial hearing officer must be held within 90 days of the request..
SD	Substance Use IOP (Intensive Outpatient)	—	—	—	✓ appeal must be made within thirty days of receiving notice of the decision; department shall provide determination within thirty days; fair hearing must be held within ninety days after receiving the request	client, client's parent (if client is under age 18), or client's guardian; former clients may also access the policy upon request	ARSD 67:61
		Appeals: Client, parent, or guardian may appeal the agency's decision regarding ineligibility or termination of services to the department in writing within 30 days of receiving notice. The department shall provide a determination within 30 days. If dissatisfied, a fair hearing may be requested in writing within 30 days of the department's decision. A fair hearing by an impartial hearing officer must be held within 90 days of the request..
SD	Substance Use PHP (Partial Hospitalization)	—	—	—	✓ appeal must be made within thirty days of receiving notice of the decision; department shall provide determination within thirty days; fair hearing must be held within ninety days after receiving the request	client, client's parent (if client is under age 18), or client's guardian; former clients may also access the policy upon request	ARSD 67:61
		Appeals: Client, parent, or guardian may appeal the agency's decision regarding ineligibility or termination of services to the department in writing within 30 days of receiving notice. The department shall provide a determination within 30 days. If dissatisfied, a fair hearing may be requested in writing within 30 days of the department's decision. A fair hearing by an impartial hearing officer must be held within 90 days of the request..
SD	Substance Use Residential	—	—	—	✓ appeal must be made within thirty days of receiving notice of the decision; department shall provide determination within thirty days; fair hearing must be held within ninety days after receiving the request	client, client's parent (if client is under age 18), or client's guardian; former clients may also access the policy upon request	ARSD 67:61
		Appeals: Client, parent, or guardian may appeal the agency's decision regarding ineligibility or termination of services to the department in writing within 30 days of receiving notice. The department shall provide a determination within 30 days. If dissatisfied, a fair hearing may be requested in writing within 30 days of the department's decision. A fair hearing by an impartial hearing officer must be held within 90 days of the request..
TN	Applied Behavior Analysis	—	—	—	—	service recipients; if a service recipient is unable to understand, a parent, guardian, or other appropriate person or agency responsible for protecting the rights of the service recipient	TN Rule 0940-05-06
TN	Certified Community Behavioral Health Clinic (CCBHC)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Community Mental Health Center (CMHC)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	SUD Detoxification / Withdrawal Management	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	IDD Community / HCBS	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	IDD Day Habilitation / Day Program	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	IDD Residential / ICF-IID	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Mental Health IOP (Intensive Outpatient)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Mental Health PHP (Partial Hospitalization)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Mental Health Residential	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Opioid Treatment Program (OTP)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Outpatient (MH & SUD)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Psychiatric Residential Treatment Facility (PRTF)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Psychiatric Facility	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Substance Use IOP (Intensive Outpatient)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Substance Use PHP (Partial Hospitalization)	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TN	Substance Use Residential	informal meeting must be held no more than five (5) business days after the request	outcome of informal meeting sent to all parties within two (2) business days after the meeting; if appealed, chief officer must hear appeal within ten (10) business days of request and provide written resolution within two (2) business days after conclusi	✓	✓ within five (5) business days of receipt of the documented outcome of the informal meeting; appeal heard within ten (10) business days of the request	A service recipient who has capacity, or the legal representative if the service recipient lacks capacity (including parent, legal guardian, legal custodian, legal caregiver, conservator, attorney-in-fact, or surrogate decision maker)	TN Rule 0940-01-07
		Filing deadline: not more than thirty (30) calendar days after the occurrence of the matter which is the basis for the request. Written response note: Outcome of informal meeting must be documented and a copy sent to all parties within 2 business days. On appeal, chief officer or designee must provide a written statement of resolution within 2 business days after the hearing; copy placed in service recipient's record.. Appeals: If not resolved at informal meeting, service recipient or legal representative may request an appeal within 5 business days of receipt of the documented outcome. The chief officer or designee hears the appeal within 10 business days; decision is final and may not be further appealed..
TX	Community Mental Health Center (CMHC)	—	begin within ten working days of receipt of the request for a review and be completed within ten working days of the time it begins; within five working days if related to a crisis service	✓	—	the person requesting or receiving services/supports, the person's legal representative, or any other individual with the person's consent	26 TAC Ch. 301
		Filing deadline: within 30 days of receipt of notification if dissatisfied with the decision. Written response note: Following a review, the local authority or contractor shall explain to the person and legally authorized representative in writing and also in person or by telephone, if requested, the action it will take or, if no action will be taken, why it will not change the decision.. Appeals: The review described in §301.155(h) is stated to be the final step in the review process; however, the regulation notes it does not preclude rights to reviews or appeals under other state and federal laws..
TX	SUD Detoxification / Withdrawal Management	—	within seven days of receiving the grievance	✓	—	client (and consenter receives a copy of the grievance procedure); any client may file a grievance about any violation of client rights or Commission rules	26 TAC Ch. 564
		Written response note: Facility shall provide a written response to the client within seven days of receiving the grievance; all grievances including final disposition must be documented and kept in a central file.. Appeals: No internal appeals process specified; clients may submit a complaint directly to the Commission (Texas Commission on Alcohol and Drug Abuse) at any time, including its investigations division mailing address and toll-free telephone number..
TX	IDD Community / HCBS	—	begin within ten working days of receipt of the request for a review and be completed within ten working days of the time it begins; within five working days if related to a crisis service	✓	—	the person requesting or receiving services/supports, the person's legal representative, or any other individual with the person's consent	26 TAC Ch. 301
		Filing deadline: within 30 days of receipt of notification if dissatisfied with the decision. Written response note: Following a review, the local authority or contractor shall explain to the person and legally authorized representative in writing and also in person or by telephone, if requested, the action it will take or, if no action will be taken, why it will not change the decision.. Appeals: The review described in §301.155(h) is stated to be the final step in the review process; however, the regulation notes it does not preclude rights to reviews or appeals under other state and federal laws..
TX	Opioid Treatment Program (OTP)	—	within seven days of receiving the grievance	✓	—	client (and consenter receives a copy of the grievance procedure); any client may file a grievance about any violation of client rights or Commission rules	26 TAC Ch. 564
		Written response note: Facility shall provide a written response to the client within seven days of receiving the grievance; all grievances including final disposition must be documented and kept in a central file.. Appeals: No internal appeals process specified; clients may submit a complaint directly to the Commission (Texas Commission on Alcohol and Drug Abuse) at any time, including its investigations division mailing address and toll-free telephone number..
TX	Substance Use IOP (Intensive Outpatient)	—	within seven days of receiving the grievance	✓	—	client (and consenter receives a copy of the grievance procedure); any client may file a grievance about any violation of client rights or Commission rules	26 TAC Ch. 564
		Written response note: Facility shall provide a written response to the client within seven days of receiving the grievance; all grievances including final disposition must be documented and kept in a central file.. Appeals: No internal appeals process specified; clients may submit a complaint directly to the Commission (Texas Commission on Alcohol and Drug Abuse) at any time, including its investigations division mailing address and toll-free telephone number..
TX	Substance Use PHP (Partial Hospitalization)	—	within seven days of receiving the grievance	✓	—	client (and consenter receives a copy of the grievance procedure); any client may file a grievance about any violation of client rights or Commission rules	26 TAC Ch. 564
		Written response note: Facility shall provide a written response to the client within seven days of receiving the grievance; all grievances including final disposition must be documented and kept in a central file.. Appeals: No internal appeals process specified; clients may submit a complaint directly to the Commission (Texas Commission on Alcohol and Drug Abuse) at any time, including its investigations division mailing address and toll-free telephone number..
TX	Substance Use Residential	—	within seven days of receiving the grievance	✓	—	client (and consenter receives a copy of the grievance procedure); any client may file a grievance about any violation of client rights or Commission rules	26 TAC Ch. 564
		Written response note: Facility shall provide a written response to the client within seven days of receiving the grievance; all grievances including final disposition must be documented and kept in a central file.. Appeals: No internal appeals process specified; clients may submit a complaint directly to the Commission (Texas Commission on Alcohol and Drug Abuse) at any time, including its investigations division mailing address and toll-free telephone number..
UT	Applied Behavior Analysis	—	—	—	—	—	R501-1
UT	Certified Community Behavioral Health Clinic (CCBHC)	—	—	—	—	—	R501-1
UT	Community Mental Health Center (CMHC)	—	—	—	—	individuals participating in treatment services	R523-2
UT	SUD Detoxification / Withdrawal Management	—	—	—	—	individuals participating in treatment services	R523-2
UT	IDD Community / HCBS	—	—	—	—	—	R501-1
UT	IDD Day Habilitation / Day Program	—	—	—	—	—	R501-1
UT	IDD Residential / ICF-IID	—	—	—	—	—	R501-1
UT	Mental Health IOP (Intensive Outpatient)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Mental Health PHP (Partial Hospitalization)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Mental Health Residential	—	—	—	✓	individuals participating in treatment services	R523-2
		Appeals: An appeal process for the grievance policy is required to be included in the provider's policy and procedure manual, but no further detail is specified in the regulation..
UT	Opioid Treatment Program (OTP)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Outpatient (MH & SUD)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Psychiatric Residential Treatment Facility (PRTF)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Psychiatric Facility	—	—	—	—	individuals participating in treatment services	R523-2
UT	Substance Use IOP (Intensive Outpatient)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Substance Use PHP (Partial Hospitalization)	—	—	—	—	individuals participating in treatment services	R523-2
UT	Substance Use Residential	—	—	—	—	individuals participating in treatment services	R523-2
VA	Applied Behavior Analysis	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Certified Community Behavioral Health Clinic (CCBHC)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Community Mental Health Center (CMHC)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	SUD Detoxification / Withdrawal Management	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	IDD Community / HCBS	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	IDD Day Habilitation / Day Program	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	IDD Residential / ICF-IID	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-46
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Mental Health IOP (Intensive Outpatient)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Mental Health PHP (Partial Hospitalization)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Mental Health Residential	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-46
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Opioid Treatment Program (OTP)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Outpatient (MH & SUD)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Psychiatric Residential Treatment Facility (PRTF)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-46
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Psychiatric Facility	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Substance Use IOP (Intensive Outpatient)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Substance Use PHP (Partial Hospitalization)	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-105
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
VA	Substance Use Residential	within 24 hours	within 10 working days	✓	✓ petition for LHRC hearing within 10 working days from receipt of director's action plan or final decision; LHRC holds hearing within 20 working days of receiving petition; LHRC issues written findings within 10 working days after hearing; director submits	the individual receiving services	12VAC35-46
		Filing deadline: within 10 working days of receipt of the final decision or action plan. Written response note: Director's decision and action plan must be reported in writing to the individual, authorized representative (if applicable), and human rights advocate; individual must be notified in writing of right to appeal to the LHRC.. Appeals: Complaint process governed by Part V (12VAC35-115-150 et seq.) of this chapter; full appeals details not included in the provided text excerpt..
WA	Applied Behavior Analysis	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Certified Community Behavioral Health Clinic (CCBHC)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Community Mental Health Center (CMHC)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	SUD Detoxification / Withdrawal Management	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	IDD Community / HCBS	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	IDD Day Habilitation / Day Program	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	IDD Residential / ICF-IID	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Mental Health IOP (Intensive Outpatient)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Mental Health PHP (Partial Hospitalization)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Mental Health Residential	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Opioid Treatment Program (OTP)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Outpatient (MH & SUD)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Psychiatric Residential Treatment Facility (PRTF)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Psychiatric Facility	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Substance Use IOP (Intensive Outpatient)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Substance Use PHP (Partial Hospitalization)	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WA	Substance Use Residential	—	prompt resolution	—	—	the individual receiving services (grievances may be voiced by the individual)	WAC 246-341
WI	Applied Behavior Analysis	—	—	—	—	—	DHS 92
WI	Certified Community Behavioral Health Clinic (CCBHC)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 92
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Community Mental Health Center (CMHC)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	clients, their parents or guardian (where consent of parent or guardian is required for services), family members, and other agencies involved in meeting the needs of clients	DHS 34
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	SUD Detoxification / Withdrawal Management	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	client (the individual receiving sheltered employment or work activity services)	DHS 31
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	IDD Community / HCBS	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	client (the individual receiving sheltered employment or work activity services)	DHS 61
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	IDD Day Habilitation / Day Program	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	client (the individual receiving sheltered employment or work activity services)	DHS 61
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	IDD Residential / ICF-IID	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	client (the individual receiving sheltered employment or work activity services)	DHS 61
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Mental Health IOP (Intensive Outpatient)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 40
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Mental Health PHP (Partial Hospitalization)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 40
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Mental Health Residential	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 31
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Opioid Treatment Program (OTP)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	participant (as referenced in s. DHS 94.40(4) and (5) and s. 51.61, Stats.)	DHS 72
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Outpatient (MH & SUD)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	consumer (patient)	DHS 35
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Psychiatric Residential Treatment Facility (PRTF)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 92
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Psychiatric Facility	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	client (the individual receiving sheltered employment or work activity services)	DHS 31
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Substance Use IOP (Intensive Outpatient)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 92
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Substance Use PHP (Partial Hospitalization)	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 92
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WI	Substance Use Residential	the program manager or his or her designee shall assign a client rights specialist to the grievance within 3 business days after the request for formal process has been made (non-emergency); no later than 24 hours after the request is received (emergency)	within 3 days after receiving a hearing request or a request for a meeting	✓	✓ within 3 days after receiving a hearing request or a request for a meeting	a client (patient) or a person who has lodged a grievance on behalf of a client pursuant to s. DHS 94.49	DHS 31
		Filing deadline: within 45 days of the occurrence of the event or circumstance in the grievance or of the time when the event or circumstance was actually discovered or should reasonably have been discovered, or of the client's gaining or regaining the ability to report t. Written response note: Written notice of denial or limitation shall be provided to the patient and guardian at the time of denial, stating specific conditions for restoring the right, expected duration, and specific reason for denial.. Appeals: Administrative review by county or state (DHS 94.42); state level review of county administrative decision (DHS 94.43); final state review (DHS 94.44); grievance examiner conducts first administrative level reviews for programs independent of county and second administrative level reviews for county-operated programs.
WV	Applied Behavior Analysis	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Certified Community Behavioral Health Clinic (CCBHC)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Community Mental Health Center (CMHC)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	SUD Detoxification / Withdrawal Management	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	IDD Community / HCBS	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	IDD Day Habilitation / Day Program	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	IDD Residential / ICF-IID	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Mental Health IOP (Intensive Outpatient)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Mental Health PHP (Partial Hospitalization)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Mental Health Residential	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Opioid Treatment Program (OTP)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Outpatient (MH & SUD)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Psychiatric Residential Treatment Facility (PRTF)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Psychiatric Facility	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Substance Use IOP (Intensive Outpatient)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Substance Use PHP (Partial Hospitalization)	—	within a reasonable time period not to exceed 14 days	✓	✓	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WV	Substance Use Residential	—	within a reasonable time period not to exceed 14 days	✓	✓ within 10 business days after receiving the recovery residence's decision (to certifying agency); within 10 calendar days from the final decision of the certifying agency (to the bureau)	a consumer, an employee, or any other individual may make a complaint; the consumer or his or her legal representative may appeal	64CSR11
		Written response note: The chief executive officer or designee shall provide a written report to the human rights committee of his findings and of the actions taken to prevent further occurrences; consumer identified by case number only.. Appeals: If the CEO or designee findings and actions are unfavorable, insufficient, or not forthcoming within a reasonable time, the consumer or legal representative may appeal to the governing body of the provider, the state licensure body, the West Virginia advocate, or other appropriate resource..
WY	Community Mental Health Center (CMHC)	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	SUD Detoxification / Withdrawal Management	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	Mental Health Residential	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	Opioid Treatment Program (OTP)	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	Outpatient (MH & SUD)	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	Psychiatric Facility	A response to the initial complaint will be made within twenty-four (24) hours, exclusive of weekends and holidays.	—	—	✓	patients admitted to the hospital for mental health services (persons whose rights under these rules have been infringed)	048.0029.1.07191990
		Filing deadline: The complaint may be registered at any time.. Appeals: If unresolved, the state patient advocate will present the patient's grievance to the Wyoming State Mental Health Grievance Committee for resolution..
WY	Substance Use IOP (Intensive Outpatient)	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	Substance Use PHP (Partial Hospitalization)	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024
WY	Substance Use Residential	—	—	—	—	client or legal guardian (implied by record requirement that client or legal guardian sign acknowledgment of complaint procedures)	048.0077.2.09182024