Filing a Grievance
Grievances are spoken or written complaints submitted to Louisiana Healthcare Connections by you or your Authorized Representative. These complaints may concern any action of Louisiana Healthcare Connections, including, but not limited to:
- prior authorization requirements
- quality of care
- administrative processes or operations
Louisiana Healthcare Connections wants to resolve any concerns you may have. We will not hold it against you or treat you differently if you file a Grievance.
How to File a Grievance
Louisiana Healthcare Connections ATTN: Grievances
8585 Archives Avenue, Suite 310
Baton Rouge, LA 70809
Be sure to include:
- Your first and last name
- Your Medicaid ID number
- Your address and telephone number
- What you are unhappy with
- What you would like to have happen
You can file a Grievance at any time. If you file a written Grievance, we will send you a letter within five (5) days letting you know we have received it.
Louisiana Healthcare Connections maintains records of each Grievance, as well as all responses, for six (6) years.
If someone else is going to file a Grievance for you, we must have your written permission for that person to file your Grievance. You can call Member Services to receive a form or go to the Member Handbooks and Forms section. This “Personal Appeal Representative Form” (found in the Forms section of this handbook) can be used to give the right to file your Grievance or Appeal to someone else.
If you have any proof or information supporting your Grievance, you may send it to us and we will add it to your case. You may send this information to Louisiana Healthcare Connections by fax, in person or by letter. You may also request to receive copies of any documentation Louisiana Healthcare Connections used to make the decision about your care or Grievance.
You can expect a resolution and a written response within 90 days of your Grievance. Most Grievances are resolved within 30 days. If we need more than 90 days, we will contact you.
We will not hold it against you or treat you differently in any way if you file a Grievance. We want to know your concerns so we can improve our services.