You can ask any of these people for help:
- You can call us at Participant Services at 1-855-747-5483 or TTY/TDD: 711.
- You can call your Clinical Team Leader. Their phone number is on the front of your ID Card.
- 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. The Participant Ombudsman may be reached toll-free at 1-844-614-8800 (TTY users call 711) or online at icannys.org.
- Call the Health Insurance Information, Counseling, and Assistance Program (HIICAP) for free help. The HIICAP is an independent organization. It is not connected with this plan. The phone number is 1-800-701-0501.
- Talk to your provider. Your provider can ask for a coverage determination or appeal on your behalf.
- Talk to a friend or family member and ask him or her to act for you. You can name another person to act for you as your “representative” to ask for a coverage determination or make an appeal.
Please go to Chapter 9 of your Participant Hand book found in your 2022 Member Materials, or call Participant Services at 1-855-747-5483 or TTY/TDD: 711 for more information on appeals. If you would like to learn the number of grievances, appeals and exceptions that have been filed with PHP Care Complete FIDA-IDD Plan, please call Participant Services at 1-855-747-5483 or TTY/TDD: 711.