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The ombudsman office helps people in Minnesota Health Care Programs (MHCP) who are enrolled in a health plan. This includes people covered by Medical Assistance (MA), General Assistance Medical Care (GAMC) and MinnesotaCare.
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The ombudsman helps health plan members with access, service and billing problems. The office provides information about the managed health care grievance and appeal process that is available through the health plan and the state.
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| Call (651) 431-2660 or (800) 657-3729; TTY: 711 |
Mail a letter to:
Ombudsman for State Managed Health Care Programs
PO Box 64249
St. Paul, MN 55164-0249
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An advocate for fair and equal treatment.
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People on MinnesotaCare, MA or GAMC who get their coverage through a health plan, or the authorized representative of a person enrolled in a health plan.
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| Reviews, investigates and, if appropriate, makes recommendations to remedy complaints. |
| Helps people to resolve service-related problems to make sure that medically appropriate services are provided. |
| Helps people with billing problems when a medical provider has sent a bill showing that their health plan has not paid for services. |
| Teaches people about the grievance and appeal process at the health plan, and the State fair hearing process at the Department of Human Services, and helps them as needed. |
Teaches people to advocate for themselves.
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| When you do not know how to make a complaint |
| When you cant solve a problem by talking to your medical clinic or health plan |
| When you are receiving bills that you think your health plan should pay |
| When you do not think that you are getting the care that you need |
When you feel your rights are being violated.
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