For CBH Members: Appealing a Grievance

EXPEDITED COMPLAINTS AND GRIEVANCES

What can I do if my health is at immediate risk?

If your doctor believes that the usual timeframes for deciding your complaint or grievance will harm your health, you or your doctor can call CBH at 1-215-413-3100 and ask that your complaint or grievance be decided faster.

You will need to have a letter from your doctor faxed to 1-215-413-3240 explaining how the usual timeframe of 30 days for deciding your complaint or grievance will harm your health.

If your doctor does not fax CBH this letter, your complaint or grievance will be decided within the usual timeframes.

Expedited Complaint

The expedited complaint will be decided by a doctor who has not been involved in the issue you filed your complaint about.

CBH will call you within 3 business days of when we receive your request for an expedited (faster) complaint review with our decision. You will also receive a letter telling you the reason(s) for the decision and how to file a second level complaint, if you don’t like the decision. For information on how to file a second level complaint click here.

An expedited complaint decision may not be requested after a first level complaint decision has been made on the same issue.

Expedited Grievance and Expedited External Grievance

A committee of three or more people, including a doctor and at least one CBH member, will review your grievance.The doctor will decide your expedited grievance with help from the other people on the committee. No one on the committee will have been involved in the issue you filed
your grievance about.

CBH will call you within 3 business days of when we receive your request for an expedited (faster) grievance review with our decision. You will also receive a letter telling you the reason for the decision. It will also tell you how to ask for an expedited external grievance review, if you don’t like the decision.

If you want to ask for an expedited external grievance review by the Department of Health, you must call CBH at 1-888-545-2600 within 2 business days from the date you get the expedited grievance decision letter. CBH will send your request to the Department of Health within 24 hours after receiving it.

An expedited grievance decision may not be requested after a second level grievance decision has been made on the same issue.

Next: What kind of help may I have
with the complaint and grievance processes?

Complaints | Grievances | Expedited Complaints and Grievances

DPW Fair Hearings | Special Situations