Behavioral Health Services - Community Care Behavioral Health

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What is a Grievance?
A grievance is what you file when you do not agree with Community
Care’s decision that a service that you or your
You can file a
provider asked for is not medically necessary. A
grievance when
grievance is usually about your or your provider's you do not agree
concerns about getting treatment approved. You with Community
may file a grievance in writing or by phone. You Care's decision
can file a grievance if Community Care does any that a service
one of these things:
that you or your
provider asked for
• Denies a covered service.
is not medically
necessary.
• Approves less than what was asked for.
• Approves a different service from the one that was asked for.
What should I do if I have a Grievance?
First Level Grievance
If Community Care does not completely approve a service for you, we
will tell you in a letter. The letter will tell you how to file a grievance. You
have 45 days from the date you receive this letter to file a grievance.
To file a grievance, you can either:
• Call Community Care and tell us your grievance.
• Write down your grievance and send it to us at:
Community Care Behavioral Health Organization
1200 Camp Hill Bypass, Suite 100
Camp Hill, PA 17011-1266
Attention: Complaints and Grievances Department
Your provider can file a grievance for you if you give
him or her your consent in writing to do so.
If your
provider files
a grievance
for you, you
cannot file
a separate
grievance on
your own.
Customer Services: Adams 1-866-738-9849 • Berks 1-866-292-7886 • York 1-866-542-0299