The purpose of the grievance process is to provide a fair and timely process to address written or oral grievances filed by participants, their families, or authorized representatives.
A grievance is a written or oral complaint expressing dissatisfaction with service delivery, or the quality of care furnished. The grievance can be medical or non-medical in nature. All written or oral complaints will receive a response in a timely manner.
The procedure to file a grievance includes:
We encourage you to use LIFE PACE' internal grievance process so that we may address your concerns as soon as possible; however, Oklahoma Medicaid recipients enrolled in LIFE PACE may appeal the decision in writing directly to the Oklahoma Health Care Authority. You or your authorized representative must send a written appeal request within 30 days of receipt of this notification. If you file an appeal before the effective date of this action, you may receive services during the appeal process. However, if this action is upheld by the Appeals Division, you may be required to reimburse the LIFE PACE program for the cost of services paid on your behalf during the appeal period. You may write a letter or complete an Appeal Request Form
Forms are available www.okhca.org. (By clicking this link, you will leave the LIFE PACE web site) Please include a copy of the grievance outcome notification, sign the appeal request, and mail it to:
Oklahoma Health Care Authority Grievance Docket Clerk
P.O. Drawer 18497
Oklahoma City, OK 73154-0497
Upon admission to an assisted living facility or nursing facility, you may have additional grievance rights and processes to follow. These additional rights and processes will be discussed with you, your family, or authorized representative at that time.