Options for resolving problems with health care services or bills

If you have MA and are not enrolled in a health plan, your care is provided through what is called fee-for-service. This means that providers bill the state directly. Find out what to do if you have problems with fee-for-service coverage or billing.

If you are enrolled in a health plan for your MA or MinnesotaCare coverage, you have several options for resolving problems.

• Call your health plan using these tips
• File an appeal or grievance, or request a state fair hearing
• Ask for help from the Ombudsman for Public Managed Care Programs

Certain types of problems need to be reported to agencies other than the Minnesota Department of Human Services.

• Minnesota Department of Health (MDH) - If you have a complaint about the quality of medical care you received from a health plan provider, review MDH's managed care Web pages to learn about the complaint process or contact them at 651-201-5100 or 800-657-3916.
• Ombudsman for Long-Term Care - If you need help with an issue with long-term care services and supports, contact the Ombudsman for Long-Term Care at 651-431-2555 or 800-657-3591.
• Ombudsman for Mental Health and Developmental Disabilities - For help with services for mental health and developmental disabilities, contact the Ombudsman for Mental Health and Developmental Disabilities at 651-757-1800 or 800-657-3506.