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COMBINED MEDICAID 102-1 Civil Rights

Supersedes: FMA and MA 102-1 (01/01/07) Reference: MCA 49-2-308; ARM 37.78.102 and 37.82.101; Section 1557 of Affordable care Act

Overview: State and County staff shall not discriminate against any applicant or participant in any aspect of the program administration for reasons of race, color, national origin, age, disability, sex or disability.

RIGHT TO FILE A COMPLAINT Individuals who believe that they have been subject to discrimination can ﬁle a complaint in writing by mail, fax, e-mail, or via the Oﬃce for Civil Rights (OCR) Complaint Portal.

Oﬃce for Civil Rights 1961 Stout Street, Room 08-148 Denver, Colorado 80294 Phone: 303-844-7815 Email: ocrmail@hhs.gov Complaint portal web address: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf [ocrportal.hhs.gov]

-OR- Civil Rights Coordinator Human and Community Services PO BOX 4210 Helena, MT 59604

COMPLAINT REQUIREMENTS Any individual wanting to ﬁle a discrimination complaint shall be advised immediately of their right to do so and shall be given the necessary information (listed below) to ﬁle the complaint. When an individual asks for assistance with the complaint ﬁling process, DPHHS staff shall assist the individual.

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Page 1

Official source

COMBINED MEDICAID 102-1 Civil Rights

Supersedes: FMA and MA 102-1 (01/01/07) Reference: MCA 49-2-308; ARM 37.78.102 and 37.82.101; Section 1557 of Affordable care Act

Overview: State and County staff shall not discriminate against any applicant or participant in any aspect of the program administration for reasons of race, color, national origin, age, disability, sex or disability.

RIGHT TO FILE A COMPLAINT Individuals who believe that they have been subject to discrimination can ﬁle a complaint in writing by mail, fax, e-mail, or via the Oﬃce for Civil Rights (OCR) Complaint Portal.

Oﬃce for Civil Rights 1961 Stout Street, Room 08-148 Denver, Colorado 80294 Phone: 303-844-7815 Email: ocrmail@hhs.gov Complaint portal web address: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf [ocrportal.hhs.gov]

-OR- Civil Rights Coordinator Human and Community Services PO BOX 4210 Helena, MT 59604

COMPLAINT REQUIREMENTS Any individual wanting to ﬁle a discrimination complaint shall be advised immediately of their right to do so and shall be given the necessary information (listed below) to ﬁle the complaint. When an individual asks for assistance with the complaint ﬁling process, DPHHS staff shall assist the individual.