When You're Not Satisfied with Services
Filing a Concern or Complaint
Before filing a complaint or concern, try asking directly
for the help or service you need from hospital
staff or the crisis worker.
The Patient’s Bill of Rights explains your rights. Hospital staff can help you find this information.
Call 1-877-642-0450 (message line)
Oregon Health Authority Ombuds Program
for OHP members
Filing a Concern or Complaint
With your coordinate care organization (CCO) or Oregon Health Plan provider
Each Coordinated Care Organization (CCO) has a written process for complaints. This information is usually on their website. You can also call their customer service using the number on your insurance card.
It is a good idea to submit complaints in writing. If you do, the CCO must reply in writing, usually within five working days.
OHP customer service
For issues, questions and concerns
Email: [email protected]
Call Customer Services directly at 800-699-9075.
Ombuds
Oregon Health Authority has a team of staff who advocate for Oregon Health Plan (OHP) members. These staff are called OHP Ombudspersons. The goal of the Ombuds team is to make sure OHP members get quality health care. Contact the Ombuds Program if you have a concern about the services you get from OHP.
Ombuds information:
https://www.oregon.gov/oha/erd/pages/ombuds-program.aspx
Email: OHA.OmbudsOffice@odhsoha.oregon.gov
Call: 1-877-642-0450 – Message line only
With your private insurance company
Each private insurance company has its own complaint process. Check their website and search for the words “grievance” or “complaint.”
You can also file a complaint with the state through the Division of Consumer and Business Services (DCBS).
About the hospital with the state
If you are not satisfied after filing a complaint with your CCO or insurance provider, you can file a complaint with the state.
You can contact the Governor’s Advocacy Office or Oregon Health Authority.
About child protective services or services for children with intellectual or developmental disabilities
Department of Human Services
Governor’s Advocacy Office
(8 a.m. to 5 p.m.)
1-800-442-5238
If you have any questions or concerns, seek out a family support specialist by contacting the Oregon Family Support Network or call the Reach Out Oregon Parent Warmline at 1-833-732-2467 to assist you.