The Office of Ombudsperson for Public Managed Health Care Programs

The Minnesota Managed Health Care Ombudsperson Office works with people who have Medical Assistance or MinnesotaCare and who are enrolled in a managed health care plan. The Ombudsperson helps with access, service and billing questions. The Ombudsperson can also provide information about managed health care grievances and appeals.

What is an ombudsperson?
- A problem solver
- A neutral investigator
- An advocate for fair and equal treatment
What can the managed care ombudsperson do?
- Help you navigate and understand your health care coverage
- Help you identify your options
- Help you understand your rights
- Help you communicate and work with your health plan
- Help you with access, service and billing questions
- Explain how to file a health plan grievance, health plan appeal or state appeal (fair hearing with the state)
- Help you navigate the health care system
When should I call an ombudsperson for help?
Any time you have a question or concern about your coverage, call your health plan Member Services first. The number for your health plan is on the notice you received and on the back of your health plan ID card. If you still need assistance, call the ombudsperson if:
- You cannot solve a problem by talking to your health care provider or health plan
- You have questions about how your health care coverage works
- You are not getting the care that you need
- You are getting bills that you think your health plan should pay
- You do not know how to file a grievance or appeal with your health plan
Mission and vision
Mission

The Minnesota Managed Health Care Ombudsperson Office works with people who have Medical Assistance or MinnesotaCare and who are enrolled in a managed health care plan to:
- Serve as an objective resource to ensure people receive medically necessary covered services
- Identify issues and possible solutions
- Provide information about appeals and grievances
- Explain how to navigate managed care plans
- Identify ways to improve managed care
Vision

To achieve equitable outcomes for all managed care enrollees accessing services covered by Medical Assistance or MinnesotaCare.
Annual report
Contact us
If you still need assistance after contacting your health plan Member Services, you can call, fax, email or write our office.
- Call: 651-431-2660 or 800-657-3729 or use your preferred relay service
- Fax: 651-431-7472
- Email the Ombudsperson Office
- The Office Ombudsperson for Public Managed Health Care Programs
  P.O. Box 64249
  St. Paul, MN 55164-0249
Is there anyone else I can call?
Your county managed care advocate may also be able to help. Contact your county human services office and ask to speak to the county or tribal managed care advocate.