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Complaints & Feedback
RELATED DOWNLOADS [PDF]
"Our Process for Complaints & Feedback" (English)
"Our Process for Complaints & Feedback" (Spanish)
OHP Complaint Form (Spanish)
OHP Complaint Form (English)
Grievance System Policy with Appendices (PDF)
Notice of Action Template - For change to previously authorized services
Notice of Action Template - For denial of requested service/payment
How to File an Appeal (English)
How to File an Appeal (Spanish)
Appeal Form (English)
Appeal Form (Spanish)
DMAP Notice of Hearing Rights (English)
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