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Behavioral Health Services - Community Care Behavioral Health

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41<br />

What should I do to continue getting services if <strong>Community</strong><br />

<strong>Care</strong> was authorizing services, but decided that those services<br />

should now be reduced, changed, or stopped because they are<br />

not medically necessary for me?<br />

If you file:<br />

A First Level Grievance within 10 days of the date on the<br />

letter from <strong>Community</strong> <strong>Care</strong> telling you of this decision...<br />

A Second Level Grievance within 10 days of the date<br />

on the letter from <strong>Community</strong> <strong>Care</strong> telling you of this<br />

decision...<br />

An External Grievance within 10 days of the date on the<br />

letter from <strong>Community</strong> <strong>Care</strong> telling you of this decision...<br />

You will<br />

continue to<br />

receive those<br />

services until<br />

a decision<br />

is made<br />

about your<br />

grievance.<br />

If you have any questions about complaints or grievances, call:<br />

• <strong>Community</strong> <strong>Care</strong>'s toll-free Customer <strong>Services</strong> number (Adams<br />

County 1-866-738-9849; Berks County 1-866-292-7886; York<br />

County 1-866-542-0299).<br />

• Pennsylvania Legal Aid Network (www.palegalaid.net),<br />

1-800-322-7572.<br />

• Pennsylvania <strong>Health</strong> Law Project (www.phlp.org), 1-800-274-3258.<br />

• Your local legal aid office (see the Contact Information section of<br />

this Member Handbook).<br />

Customer <strong>Services</strong>: Adams 1-866-738-9849 • Berks 1-866-292-7886 • York 1-866-542-0299

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