Medicaid Appeals/Complaints

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    The structure of the services index and definitions of the terms contained herein were originally published in A Taxonomy of Human Services: A Conceptual Framework with Standardized Terminology and Definitions for the Field by the Information and Referral Federation of Los Angeles County, Inc., 3035 Tyler Ave., El Monte, CA 91731; Copyright (c) 1983, 1987, 1991. No part of this listing of human services terms and definitions may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electrical, mechanical, photocopying, recording or otherwise without the prior written permission of the Information and Referral Federation of Los Angeles County, Inc.

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    Programs that are responsible for hearing appeals and resolving complaints that have been filed by people who have applied for or who are receiving services through Medicaid and believe that they have been discriminated against, that their rights have been violated or that the state or county has failed to take appropriate action with respect to their application or benefits.

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    There are 92 matching records.
    Service NameDescriptionLocationProgramAgency
    Allegheny County Assistance Office - Alle-Kiski District - Medical Assistance / MedicaidThis office serves Allegheny County residents. Medical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AlleghenyAllegheny County Assistance Office - Alle-Kiski DistrictPennsylvania Department of Human Services
    Medicaid Appeals/ComplaintsResponsible for hearing appeals and resolving complaints that have been filed by people who have applied for or who are receiving services through Medicaid.BlairCCBH Blair OfficeCCBH
    Medicaid/Medical Assistance - Pennsylvania Department of Human ServicesMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ClintonClinton County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - AdamsMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AdamsAdams County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - AlleghenyMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AlleghenyAllegheny County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - ArmstrongMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ArmstrongArmstrong County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - BeaverMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.BeaverBeaver County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - BedfordMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.BedfordBedford County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - BerksMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.BerksBerks County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - BlairMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.BlairBlair County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Boulevard DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaBoulevard DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - Bradford-PA Dept. of Human ServicesMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.BradfordBradford County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - BucksMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.BucksBucks County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - ButlerMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ButlerButler County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - CambriaMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.CambriaCambria County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - CarbonMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.CarbonCarbon County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - CentreMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.CentreCentre County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Chelten DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaChelten DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - ChesterMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ChesterChester County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Columbia Pennsylvania Department of Human ServicesMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ColumbiaColumbia County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Crosby DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.DelawareCrosby DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - CumberlandMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.CumberlandCumberland County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Darby DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.DelawareDarby DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - DauphinMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.DauphinDauphin County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Delancey DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaDelancey DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - DelawareMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.DelawareDelaware County Assistance Office HeadquartersPennsylvania Department of Human Services
    Medical Assistance / Medicaid - ElmwoodMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaElmwood DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - FayetteMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.FayetteFayette County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - FederalMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaFederal DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - FranklinMedical Assistance, also known as Medicaid, and sometimes referred to as MA, pays for health care services for eligible individuals.FranklinFranklin County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - FultonMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.FultonFulton County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - GlendaleMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaGlendale DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - Greater Pittsburgh EastMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AlleghenyGreater Pittsburgh East DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - GreeneMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.GreeneGreene County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - HazletonMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LuzerneLuzerne County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - HuntingdonMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.HuntingdonHuntingdon County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - IndianaMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.IndianaIndiana County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - JuniataMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.JuniataJuniata County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LackawannaMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LackawannaLackawanna County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LancasterMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals. Provides direct payment to health care providers for medical services rendered to eligible clients. Prescription services available in some cases. Specific programs include: - Healthy Beginnings: Targets pregnant women and children under 19 - Healthy Horizons: Targets disabled persons and elderly persons ages 65 and older 800-440-3989 HealthChoices Enrollment LancasterLancaster County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LawrenceMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LawrenceLawrence County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LebanonMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LebanonLebanon County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LehighMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LehighLehigh County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LibertyMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaLiberty DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - Long Term and Independence Services DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaLong Term and Independent Services DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - LuzerneMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LuzerneLuzerne County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - LycomingMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.LycomingLycoming County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - MercerMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.MercerMercer County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - MifflinMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.MifflinMifflin County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - MonroeMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.MonroeMonroe County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - MontgomeryMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.MontgomeryMontgomery County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - MontourMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.MontourMontour County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - NorthamptonMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.NorthamptonNorthampton County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - NorthumberlandMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.NorthumberlandNorthumberland County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - PerryMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PerryPerry County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - PhiladelphiaMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaPhiladelphia County Assistance Office HeadquartersPennsylvania Department of Human Services
    Medical Assistance / Medicaid - PikeMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PikePike County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Pottstown DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.MontgomeryPottstown DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - Ridge/Tioga DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaRidge/Tioga DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - SchuylkillMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.SchuylkillSchuylkill County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Snyder CountyMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.SnyderSnyder County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Somerset CountyMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.SomersetSomerset County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Somerset DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaSomerset DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - SoutheastMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AlleghenySoutheast DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - SouthernMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AlleghenySouthern DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - SullivanMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.SullivanSullivan County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - SusquehannaMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.SusquehannaSusquehanna County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Three RiversMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.AlleghenyThree Rivers DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - UnionMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.UnionUnion County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - Unity DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaUnity DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - WayneMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WayneWayne County Assistance OfficePennsylvania Department of Human Services
    Medical Assistance / Medicaid - West DistrictMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PhiladelphiaWest DistrictPennsylvania Department of Human Services
    Medical Assistance / Medicaid - WyomingMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WyomingWyoming County Assistance OfficePennsylvania Department of Human Services
    PA Department of Human Services Bureau of Hearings and Appeals - Western Region / PittsburghConducts administrative hearings and adjudicates appeals relating to the denial, suspension, termination, or reduction of any DHS-issued benefit (cash assistance; Medical Assistance; Supplemental Nutrition Assistance Program (SNAP) benefits, formerly known as Food Stamps; social services; LIHEAP; etc.). When the Department of Human Services (DHS) or the Department of Aging notifies the applicant or recipient that benefits or payments have been denied or will be reduced, suspended or terminated, he or she has the right to request a fair hearing to dispute the adverse action. The Bureau of Hearings and Appeals conducts the fair hearings and decides the DPW applicant and recipient appeals and the appeals from Department of Aging adverse actions. BHA is also responsible for rendering legally sound adjudications for disputes regarding child abuse expunction, day care licensure, medical assistance provider enrollment, medical provider audit findings, Department of Aging actions, Office of Inspector General Administrative Disqualification Hearings, and nursing home intervention requests, among numerous other issues.AlleghenyBureau of Hearings and AppealsPennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Cameron County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.CameronPennsylvania Department of Human Services - Cameron County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Clarion County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ClarionPennsylvania Department of Human Services - Clarion County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Clearfield County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ClearfieldPennsylvania Department of Human Services - Clearfield County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Crawford County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.CrawfordPennsylvania Department of Human Services - Crawford County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Elk County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ElkPennsylvania Department of Human Services - Elk County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Erie County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.EriePennsylvania Department of Human Services - Erie County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Forest County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.ForestPennsylvania Department of Human Services - Forest County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Jefferson County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.JeffersonPennsylvania Department of Human Services - Jefferson County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - McKean County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.McKeanPennsylvania Department of Human Services - McKean County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Potter County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.PotterPennsylvania Department of Human Services - Potter County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Venango County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.VenangoPennsylvania Department of Human Services - Venango County Assistance OfficePennsylvania Department of Human Services
    Pennsylvania Department of Human Services - Warren County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WarrenPennsylvania Department of Human Services - Warren County Assistance OfficePennsylvania Department of Human Services
    Tioga County Assistance Office - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.TiogaTioga County Assistance OfficePennsylvania Department of Human Services
    Washington County Assistance Office - Donora District - Medical Assistance / MedicaidThis office serves Washington County residents. Medical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WashingtonWashington County Assistance Office - Donora DistrictPennsylvania Department of Human Services
    Washington County Assistance Office - Washington - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WashingtonWashington County Assistance Office - WashingtonPennsylvania Department of Human Services
    Westmoreland County Assistance Office - Donora District - Medical Assistance / MedicaidThis office serves Westmoreland County residents. Medical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WashingtonWestmoreland County Assistance Office - Donora DistrictPennsylvania Department of Human Services
    Westmoreland County Assistance Office - Greensburg District - Medical Assistance / MedicaidMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.WestmorelandWestmoreland County Assistance Office - Greensburg DistrictPennsylvania Department of Human Services
    York County Assistance Office, Medical Assistance / Medicaid - YorkMedical Assistance, also known as Medicaid, pays for health care services for eligible individuals.YorkYork County Assistance OfficePennsylvania Department of Human Services

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