Missouri Consolidated Health Care Plan Public Entity Member Area

Complaints, Utilization Review, Grievance Procedures & Appeals

Find information on filing complaints, grievances and appeals through:

The health plan's grievance review process shall include:

You have an initial right to an administrative/medical review.
You have a right to a second review with different individuals of a grievance panel, including representation from at least one physician from an appropriate specialty area of medicine.
There is an expedited procedure for emergency cases.

Journey through the appeals process:

Appeals Procedures

When filing an appeal, be sure to include:

on the side . . .