Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Kev Pabcuam Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) - Kev Tsis Txaus Siab thiab Kev Mloog Lus  ​​ 

Home and Community-Based Services (HCBS) – Grievance and Hearings​​   

Cov kev pabcuam muaj nyob rau hauv HCBS Waivers muaj xws li kev tswj cov xwm txheej, kev pabcuam hauv zej zog, kev saib xyuas tus kheej, kev cob qhia tsev neeg, kev pabcuam kev noj qab haus huv hauv tsev, kev them nyiaj rov qab rau lub neej, kev pabcuam kev nyob, kev saib xyuas so, thiab lwm yam kev pabcuam uas yuav tsum tau ua kom muaj kev noj qab haus huv thiab kev nyab xeeb ntawm cov neeg tuaj koom. nyob rau hauv lub zej zog qhov chaw ntawm lawv xaiv.​​  

Kev tsis txaus siab yog dab tsi?​​  

A grievance is defined as a complaint, either written or oral, expressing dissatisfaction with the services provided or the quality of participant care.​​  

Yuav ua ntawv tsis txaus siab li cas?​​  

Nyob ntawm hom kev tsis txaus siab, tus neeg koom nrog thiab/lossis lawv cov neeg sawv cev raug cai tuaj yeem xa daim ntawv tsis txaus siab mus rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) lossis California Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDSS). Hauv qab no yog cov txheej txheem rau xa daim ntawv tsis txaus siab rau HCBS Waivers/Programs tshwj xeeb:​​  

Note: All participants are informed that filing a grievance or making a complaint is not a pre-requisite or substitute for State Hearing. For more information see Medi-Cal Fair Hearings.​​ 

Assisted Living Wavier (ALW)​​  

Yog tias koj yog ib tus neeg koom nrog ALW thiab tsis txaus siab rau koj lub chaw ALW, Lub Chaw Haujlwm Saib Xyuas Kev Saib Xyuas Kev Noj Qab Haus Huv (CCA), lossis ALW cov kev pabcuam uas koj tau txais, koj tuaj yeem xa daim ntawv tsis txaus siab rau ALW raws li hauv qab no:​​  

  • Grievances regarding the quality or receipt of ALW services must be submitted to your CCA via email, mail, or telephone. Please reference your CCA’s contact information.​​  
  • Grievances regarding the coordination of care by your CCA must be submitted to the Department of Health Care Services via email at: ALWGrievances@dhcs.ca.gov​​  
  • All other grievances not listed above must be submitted to the California Department of Social Services, which will direct your grievance to your local ombudsman. Grievances can be submitted via telephone at (844) LET-US-NO ((844) 538-8766), via email at letusno@dss.ca.gov, or online.​​  

Yog xav paub ntxiv txog ALW kev tsis txaus siab, thov saib daim ntawv ALW Grievance Fact Sheet.​​  

Tsev thiab Community Based Alternatives (HCBA)​​  

Yog tias koj tsis txaus siab rau koj HCBA Care Management Team, lossis HCBA cov kev pabcuam uas koj tau txais, koj tuaj yeem xa daim ntawv tsis txaus siab raws li hauv qab no:​​  

  • Grievances regarding the quality or receipt of HCBA services must be submitted to your Waiver Agency via email, mail, or telephone. Please reference your Waiver Agency’s contact information.​​ 

  • Grievances regarding the coordination of care by your Waiver Agency must be submitted to DHCS via email at: ISCDCompliance@dhcs.ca.gov.​​  
  • Grievances regarding your Congregate Living Health Facility must be submitted to DHCS via email at: ISCDCompliance@dhcs.ca.gov.​​  

For more information about HCBA grievances, please review the HCBA Grievance Fact Sheet.​​  

Note: All participants are informed that filing a grievance or making a complaint is not a pre-requisite or substitute for State Hearing.​​  

Lub Rooj Sib Hais Hauv Xeev yog dab tsi?​​  

Lub Rooj Sib Hais Hauv Xeev yog cov rooj sib tham raug cai lossis rooj sib hais rau tsev neeg lossis cov neeg tau txais txiaj ntsig los tawm tsam qhov kev txiav txim siab ntawm cov neeg tau txais txiaj ntsig thiab cov kev pabcuam lossis lub koomhaum uas tsis lees paub cov kev pabcuam hauv kev ncaj ncees, ywj pheej, ncaj ncees, thiab raws sijhawm, kom ntseeg tau tias cov txheej txheem raug ua raws li tsoomfwv thiab lub xeev cov cai.​​   

Koj Txoj Cai Hnov Lus yog dab tsi​​  

Koj muaj cai thov kom muaj lub xeev lub rooj sib hais los tawm tsam qhov kev txiav txim siab lossis kev txiav txim. Koj muaj hnub nyoog 90 hnub txij hnub ntawm Daim Ntawv Ceeb Toom Kev Ua Haujlwm (NOA) thov kom muaj lub rooj sib hais. Lub 90 hnub pib hnub tom qab koj tau xa tsab ntawv ceeb toom.​​   

Tej zaum koj tuaj yeem xa koj daim ntawv thov tom qab 90 hnub yog tias koj muaj qhov laj thawj zoo vim li cas koj tsis tuaj yeem foob rau lub rooj sib hais hauv 90 hnub.​​  

  • Nco tseg: Thaum muaj kev tsis pom zoo nrog kev hloov pauv hauv kev xa cov kev pabcuam, tus neeg tau txais Daim Ntawv Ceeb Toom Txog Kev Txiav Txim Siab thiab tau ceeb toom txog lawv txoj cai Hais Lus hauv Xeev.​​  

Koj tuaj yeem thov Lub Xeev Lub Rooj Sib Hais Li Cas?​​  

  • On-Line: Request a Hearing Online 
    ​​ 
  • By Phone: Call the California Department of Social Services, State Hearings Division toll free at (800) 743-8525 (Voice) or (800) 952-8349 (TDD) 
    ​​ 
  • In Writing (Mail): Submit your request to the county welfare department at the address shown on the NOA or by mail to:​​  

California Department of Social Services​​  

Lub Xeev Lub Rooj Sib Hais​​  

PO Box 944243, Chaw Nres Nkoj 21-37​​  

Sacramento, California 94244-2430​​  

Tiv tauj peb​​  

For HCBA Waiver program, please visit HCBA Waiver.​​  

Ua Daim Ntawv Tsis Txaus Siab Tsis Txaus Siab​​  

Yog tias koj xav tias kev ntxub ntxaug tau cuam tshuam rau koj cov txiaj ntsig lossis kev pabcuam, koj tuaj yeem xa daim ntawv tsis txaus siab txog kev ntxub ntxaug rau DHCS Office of Civil Rights hauv qab no:​​  

Office of Civil Rights​​  

Department of Health Care Services​​  

PO Box 997413, MS 0009​​  

Sacramento, CA 95899-7413​​  

Xov tooj: (916) 440-7370​​  

Email: CivilRights@dhcs.ca.gov. ​​  

Koj tuaj yeem siv daim ntawv tsis txaus siab txog kev ntxub ntxaug ADA Title VI los xa koj qhov kev tsis txaus siab mus rau DHCS Office of Civil Rights. Daim ntawv no tseem muaj cov ntaub ntawv ntxiv txog koj cov cai. Yuav tsum xa tsab ntawv tsis txaus siab kom sai li sai tau lossis tsis pub dhau 180 hnub ntawm qhov kawg ntawm kev ntxub ntxaug. Yog tias koj qhov kev tsis txaus siab cuam tshuam txog cov teeb meem uas tau tshwm sim ntev dua li qhov no thiab koj tab tom thov zam lub sijhawm txwv, koj yuav raug nug kom qhia qhov laj thawj zoo vim li cas koj tsis ua koj qhov kev tsis txaus siab hauv lub sijhawm 180-hnub.​​  

You may also submit a discrimination complaint to United States Department of Health and Human Services, Office of Civil Rights. Additional information on filing discrimination complaints is available on the Non-Discrimination Policy and Language Access webpage.​​