MEMBER HANDBOOK - Community Care Behavioral Health
MEMBER HANDBOOK - Community Care Behavioral Health
MEMBER HANDBOOK - Community Care Behavioral Health
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41<br />
What should I do to continue getting services if <strong>Community</strong><br />
<strong>Care</strong> was authorizing services, but decided that those services<br />
should now be reduced, changed, or stopped because they are<br />
not medically necessary for me?<br />
If you file:<br />
A First Level Grievance within 10 days of the date on the<br />
letter from <strong>Community</strong> <strong>Care</strong> telling you of this decision...<br />
A Second Level Grievance within 10 days of the date<br />
on the letter from <strong>Community</strong> <strong>Care</strong> telling you of this<br />
decision...<br />
An External Grievance within 10 days of the date on the<br />
letter from <strong>Community</strong> <strong>Care</strong> telling you of this decision...<br />
You will<br />
continue to<br />
receive those<br />
services until<br />
a decision<br />
is made<br />
about your<br />
grievance.<br />
If you have any questions about complaints or grievances, call:<br />
• <strong>Community</strong> <strong>Care</strong>'s toll-free number, 1-866-622-4228<br />
• Your local legal aid office (14 East Biddle Street, West Chester, PA<br />
19380), 610-436-4510<br />
• Pennsylvania Legal Aid Network (www.palegalaid.net),<br />
1-800-322-7572<br />
• Pennsylvania <strong>Health</strong> Law Project (www.phlp.org), 1-800-274-3258<br />
Customer Services 1-866-622-4228
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