Compliance Matrix

Patient Grievance Policies

Up to date
Ask Ariadne
SR

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

78 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..