Medicaid Grievances and Requests (Arizona)

To Whom It May Concern:

Pursuant to the Arizona Public Records, I hereby request the following records:

-Written complaints submitted to the Regional Behavioral Health Authority (RBHA) customer service department from January 2017 to the date this request is processed
-Written concerns about quality of care emailed to the Arizona Health Care Cost Containment System (ACCCS) Clinical Resolution email address (CQM@azahcccs.gov) from January 2017 to the date this request is processed
-Submitted grievances/requests for investigation by health plan January 2017 to the date this request is processed

Please provide materials on a rolling basis, as they become available. We request that the requested complaints please be made available to us as soon as possible.

If you have any questions, please feel free to clarify via phone at 610-637-7745.

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 10 business days.

Sincerely,

Sarika Ram