Information for Members and Potential Members
Assistance and Information:
Your local Aging and Disability Resource Center is the best place to
start. ADRCs are service centers that provide a place for the public to
get accurate, unbiased information on all aspects of life related to aging
or living with a disability. These centers are friendly, welcoming places
anyone can contact to receive information and assistance regarding not
only the public benefits that may be available, but all of the programs
and service available throughout the area.
Find an Aging and Disability Resource Center in your area.
Resources available for help:
What choices do you have if you want to file a grievance or appeal?
- File a grievance or appeal with the MCO. To file an appeal, you can:
- Ask for a review by the Wisconsin Department of Health Services
(DHS), which is the agency that contracts with the MCO for Family Care
or Partnership services.
- Ask for a State Fair Hearing. To file a request for a State Fair
Hearing, you can:
- Submit a Fair
Hearing Request form - F00236 (Word, 45 KB)
- Submit a written request to the
following address and should include: your name, mailing address,
a brief description of the problem, which county and MCO involved
and your signature.
- Family Care and Partnership Request for a Fair Hearing
c/o DOA Division of Hearings and Appeals
5005 University Ave, Ste. 201
P.O. Box 7875
Madison, WI 53707-7875
- Website: http://dha.state.wi.us (exit
Hearing Voluntary Withdrawal - DHA 17 (exit
DHS; PDF, 10 KB) - If you want to withdraw
your request for a hearing.
Other grievance and appeals resources
you are receiving services
for mental illness, a developmental
disability, or substance
abuse, or have been protectively placed under Chapter 55, along with your rights under DHS
10, you also
have rights under the Patient Rights laws and rules (s. 51.61,
Stats., and DHS
94, Wis. Admin. Code). You also have the right to use the DHS 94
grievance procedure, along with or in lieu of any other grievance
process you may have access to. For more information on these
rights, go to the Client Rights
PDF: The free Adobe Acrobat Reader software is
needed to view print portable document format (PDF) files. Learn
April 26, 2013