Behavioral Health Services - Community Care Behavioral Health

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62 DPW Fraud and Abuse Hotline The Department of Public Welfare has a hotline if you want to report a medical provider (for example a doctor, dentist, therapist, hospital) or business (medical supplier) for suspected fraud or abuse for services provided to anyone with an ACCESS card. The hotline number is 1-866-DPW-TIPS (1-866-379-8477). Some common examples of fraud and abuse are: • Billing or charging you for services that your health plan covers. • Offering you gifts or money to receive treatment or services. • Offering you free services, equipment, or supplies in exchange for your ACCESS number. • Giving you treatment or services that you don’t need. • Physical, mental, or sexual abuse by medical staff. You can call the Hotline and speak to someone Monday through Friday, 8:30 a.m. to 3:30 p.m. You may leave a voice mail message at other times. If you don’t speak English, an interpreter will be made available. If you are hearing impaired you can call the hotline using your TTY device. You do not have to give your name, but if you do give your name, the provider will not be told that you called. You can also report suspected fraud and abuse using the website: http://www.dpw.state.pa.us/learnaboutdpw/fraudandabuse/ maprovidercompliancehotlineresponseform/index.htm. Customer Services: Adams 1-866-738-9849 • Berks 1-866-292-7886 • York 1-866-542-0299
Call Community Care Customer Services at 1-866-738-9849 (toll-free) 24 hours a day, 7 days a week for assistance. Calls are sometimes monitored for quality assurance. You can ask that your call not be monitored. 63 Contact Information for Adams County Members Call Community Care: Customer Services (24 hours a day/7 days a week) .. 1-866-738-9849 TTY (24 hours a day/7 days a week).. . . . . . . . . . . . . 1-877-877-3580 En Español (24 hours a day/7 days a week) .. . . . . . . 1-866-229-3187 Crisis Services: Adams/Hanover Counseling Services 1-717-632-4900 Drug and Alcohol Program York/Adams Drug and Alcohol Program .. . . . . . . 1-717-771-9618 York County Government Center 100 West Market Street, #301, York, PA 17401 Medical Assistance Transportation Program (MATP) Adams County Transit Authority. . . . . . . . . . . . . . 1-717-337-1345 or .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-830-6473 County Consumer Satisfaction Team/Advocate Mental Health America of York and Adams Counties 1-717-843-6973 36 South Queen Street, York, PA 17403 Advocate Mental Health America of York and Adams Counties 1-717-339-0511 304 York Street, Suite F, Gettysburg, PA 17362 HealthChoices Management Unit.. . . . . . . . . . . . . . 1-800-441-2025 100 West Market Street, York, PA 17401. . . . . . . Ext. 9618 Adams County Assistance Office .. . . . . . . . . . . . . . 1-800-638-6816 If you have a problem with any of the numbers listed above, please call Community Care at 1-866-738-9849 for assistance.
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Behavioral Health Services MEMBER H
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Si Ud. necesita la versión en Espa
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4 HealthChoices People in Pennsylva
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6 Community Care Offers Information
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8 Your Physical Health Community Ca
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10 Customer Services: Adams 1-866-7
Page 14 and 15: 12 Services Specific To Children an
Page 16 and 17: 14 Customer Services: Adams 1-866-7
Page 20 and 21: 18 Your child or teen might get hel
Page 22 and 23: 20 If the situation is life-threate
Page 24 and 25: 22 Privacy We will not let anyone e
Page 26 and 27: 24 C. Any reasons why you could not
Page 28 and 29: 26 You Also Have the Right... (cont
Page 30 and 31: 28 You Can Ask About Mental Health
Page 34 and 35: 32 When should I file a First Level
Page 36 and 37: 34 What if I do not like Community
Page 38 and 39: 36 You must send your request for a
Page 40 and 41: 38 When should I file a First Level
Page 42 and 43: 40 A letter will be mailed to you w
Page 44 and 45: 42 What can I do if my health is at
Page 46 and 47: 44 Persons Whose Primary Language i
Page 48 and 49: 46 How do I ask for a Fair Hearing?
Page 50 and 51: 48 Who can I call if my health is a
Page 66 and 67: 64 Call Community Care Customer Ser
Page 69 and 70: Section 10 Definitions
Page 71 and 72: 69 HealthChoices HMO A Health Maint
Page 73 and 74: COMMUNITY CARE'S MISSION... To impr
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Behavioral Health Services - Community Care Behavioral Health

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