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WHAT DO THESE WORDS MEAN?

Appeal: To ask for another review of your complaint or grievance.

CBH (Community Behavioral Health): Company that pays for you to get mental health and substance abuse services.

Complaint: When you are unhappy with CBH or your provider.

Confidentiality: Information about you is kept private.

Covered service: A service that CBH pays for, like seeing a counselor.

Discontinued service: When you no longer get a service that you used to get.

Grievance: When you are unhappy with CBH because you did not get a service, you got less of a service or you got a different service than your provider (doctor) asked for and that you feel you need.

HMO (Health Maintenance Organization): Company that pays for you to get physical health care.

Ombudsperson: Person who helps you when you have a problem with your mental health or substance abuse services.

Pre-Approval: Getting the okay from CBH that they will pay for a service before you go to that service.

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