How to File a Grievance or Appeal 

The CMS grievance and appeal process are both formal, but they differ in some aspects. To file a grievance or appeal, contact your provider or care coordinator:

Call 828.468.3980

Send a written complaint or appeal to: 1915 Fairgrove Church Road SE, Newton, NC 28658

Fax your complaint or appeal: 828.464.2845

Complaint and grievance forms can be found here.

If you have questions or concerns about your grievance or appeal call 828.468.3980.

 

If this doesn't work out for you, you may decide to file a complaint with Medicare Appeals (MA). After MA receives all of their information about what happened during service delivery and how things were handled afterward, appeals will be sent back through internal review by providers within 30 days. If there is no clear evidence of wrongdoing, an administrative hearing would take place before final action is taken.

 

For Medicare:

Call 1-800-MEDICARE (1-800-633-4227) TTY: 1-877-486-2048

Email: altformatrequest@cms.hhs.gov.

Send a fax: 1-844-530-3676

Send a letter: Centers for Medicare & Medicaid Services Offices of Hearings and Inquiries (OHI) 7500 Security Boulevard, Mail Stop S1-13-25 Baltimore, MD 21244-1850 Attn: Customer Accessibility Resource Staff

updated 1.14.22