Non-Discrimination Notice
Notice Informing Individuals About Nondiscrimination and Accessibility Requirements
PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Partners Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Partners Health Plan
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, contact the Participant Call Center at 1-855-747-5483 from 8AM to 8PM, seven days a week (TTY users call 711.)
If you believe that Partners Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Linda Colón, Regional Manager
Office for Civil Rights
U.S. Department of Health and Human Services
Jacob Javits Federal Building
26 Federal Plaza - Suite 3312
New York, NY 10278
Customer Response Center:
(800) 368-1019
Fax: (202) 619-3818
TDD: (800) 537-7697
Email:
You can file a grievance in person or by mail, fax, or email.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Linda Colon, Regional Manager is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW., Room 509F, HHH Building,
Washington, DC 20201
1-800-868-1019, 800-537-7697 (TDD).
Partners Health Plan is a managed care plan that contracts with Medicare and the New York State Department of Health (Medicaid) to provide benefits to Participants through the Fully Integrated Duals Advantage for individuals with Intellectual and Developmental Disabilities (FIDA-IDD) Demonstration. The State of New York has created a Participant Ombudsman Program called the Independent Consumer Advocacy Network (ICAN) to provide participants free, confidential assistance on any services offered by PHP Care Complete FIDA-IDD Plan. ICAN may be reached toll-free at 1-844-614-8800 (TTY users call 711, then follow the prompts to dial 844-614-8800) or online at icannys.org. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
H9869_2022_Nondiscrimination Notice_Approved