Ombudsman for Public Managed Health Care Programs

• A problem solver
• A neutral investigator
• An advocate for fair and equal treatment

• Help you identify issues and possible solutions
• Help you know your rights
• Investigate complaints
• Negotiate with your health plan to help you get the care you need
• Resolve billing issues
• Explain how to file a grievance, appeal or state fair hearing
• Help you navigate the health care system

• You are not getting the care that you need
• You are getting bills that you think your health plan should pay
• You cannot solve a problem by talking to your health care provider or health plan
• You do not know how to make a complaint.

Mission

The Minnesota Managed Health Care Ombudsman Office works with Medical Assistance and MinnesotaCare people who are enrolled in a managed health care plan. The office does the following:

• Serves as an objective resource to ensure people receive medically necessary covered services
• Identifies issues and possible solutions
• Offers information about appeals and grievances
• Educates people on how to navigate managed care systems
• Identifies ways to improve managed care

Vision

Achieve equitable outcomes for all managed care enrollees accessing Medical Assistance or MinnesotaCare covered services.

For assistance, call, fax, write or email our office.