Contact Your Plan
If you are dissatisfied with your plan or any of its employees, providers, or contractors, or your plan´s services, determination of benefits, or the health care treatment received through the plan, you can file a complaint or grievance with your plan. You may make your complaint/grievance verbally or in writing. You may also designate someone to make the complaint/grievance for you.
Refer to your member handbook to learn how to use the plan´s complaint/grievance process or call the plan´s member services or complaint/grievance phone line listed on your health plan identification card. Managed care plans certified by the Department of Health must have a process to receive and respond to complaints and grievances. Many issues can be resolved with a phone call to your plan.
Contact Government Agencies
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Managed care enrollees and providers can file a complaint with certain government agencies. Depending on the type of health care plan involved and the kind of complaint, there are different agencies that can help. You do not have to file a complaint with your plan before you speak with or write to a government office.
The office you contact may ask you to complete a form to file your complaint. If you make a verbal complaint, you may be asked to send written information or documents to support your complaint. If you designate someone to make the complaint for you, you may be asked to sign a written authorization form to allow the government to share your personal health care information with your designee.
Once all needed information is received, the agency will review or investigate the complaint. The agency may work with the health care plan to correct the problem, and may check if any laws or regulations were violated. The agency will inform you of how the complaint was resolved.
To file a complaint, find your issue on the chart below and contact the government agency listed through the phone number, web site or mailing address provided.
| Who | Issue | Call | Write |
|---|---|---|---|
| Anyone enrolled in a NYS certified MCO (not behavioral health services) |
| 1–800–206–8125 | NYS Department of Health Managed Care Complaint Unit OHIP DHPCO 1CP–1609 Albany, New York 12237 Or Email: managedcarecomplaint@health.ny.gov |
| Anyone enrolled in a NYS certified MCO with questions or comments related to behavioral health managed care |
| 1–800–597–8481 | NYS Department of Health Email: NYSDOH.BCS.Behavioral.Health.Complaints@health.ny.gov |
| Anyone |
| 1–800–342–3736 New York City: 1–212–480–6400 | Consumer Assistance Unit NYS Department of Financial Services One Commerce Plaza Albany, NY 12210 |
| Anyone |
| 1–800–428–9071 | NYS Office of the Attorney General – Health Care Bureau The Capitol Albany, NY 12224-0341 Fax: (518) 650–9365 |
| NY Medicaid managed care enrollee |
| Local Department of Social Services or NY Health OPTIONS 1–855–693–6765 | Local Department of Social Services |
| NY Medicaid managed care enrollee |
| 1–800–342–3334 | Fair Hearing Section NYS Office of Temporary and Disability Assistance Managed Care Hearing Unit PO Box 22023 Albany, NY 12201–2023 Fax: (518) 473–6735 |
| Anyone enrolled in a NY Managed Long Term Care |
| 1–866–712–7197 | NYS Department of Health Bureau of Managed Long Term Care Suite 1620, One Commerce Plaza 99 Washington Ave. Albany, NY 12210 |
| Anyone receiving services from a Workers´ Compensation PPO |
| 1–518–474–5515 | NYS Department of Health Workers´ Compensation Programs Room 1609, One Commerce Plaza 99 Washington Ave. Albany, NY 12210 |
| NY health care providers |
| NYS Department of Financial Services | NYS Department of Financial Services One Commerce Plaza Albany, NY 12210 |
| Medicare recipients |
| 1–866–334–9866 | Centers for Medicare and Medicaid Services Division of Medicare Health Plans Operations 26 Federal Plaza, Room 3810 New York, NY 10278 |
| Anyone enrolled in a self–insured/ ERISA plan or through COBRA |
| 1–866–444–3272 | Eastern NY and NYC:
U.S. Department of Labor New York Regional Office 33 Whitehall Street, Suite 1200 New York, NY 10004 Central and Western NY: Employee Benefits Security AdministrationU.S. Department of Labor Boston Regional Office J.F.K. Federal Building, Room 575 Boston, MA 02203 |
Baby Supplies You Need
As you begin to get ready for your baby to come home, there are a few essential items that you'll want to make sure you have. Many of these items can appear on your registry as baby shower gifts. Otherwise, you may want to purchase them at your convenience. The more you plan ahead, the more relaxed and ready you'll be when you bring your baby home.
Here is a list of items that you'll need:
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- Sheets (3-4 sets). Flannel sheets are nice in the wintertime.
- Mobile.
- Noise machine.
- There should be NO loose toys that can strangle the baby or pillows/soft bedding that can suffocate the baby. Do NOT install loose or fluffy bumper pads.
- Make sure everything in the crib is age-appropriate.
Changing table supplies
- Diapers -- plenty of them (8-10 per day).
- Baby wipes -- unscented, alcohol free (don't get too many because some babies are sensitive to them).
- Vaseline -- good to prevent diaper rash, and for boy's circumcision.
- Cotton balls or gauze pads to apply Vaseline.
- Diaper rash cream.
Rocking chair with a footstool
- Pillow for resting arm when nursing.
- 'Donut' pillow helps if you have a tear of the vagina or perineum (the space between the vagina and perineum) during delivery or if the area remains sore.
- Blanket to put around you and baby when it's chilly.
Clothes for new baby
- One-piece sleepers (4-6). Gown-types are easiest.
- Mittens for their hands if they scratch their faces.
- Socks or booties.
- One-piece daytime outfits that snap (they are easiest and most functional).
General items
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- Burp cloths (a dozen, at least).
- Receiving blankets (4-6).
- Hooded bath towel (2).
- Wash clothes (4-6).
- Bathtub -- one with a 'hammock' is easiest when they are tiny and slippery.
- Baby wash.
- Shampoo (baby safe).
- Nursing pads and nursing bra.
- Car seat -- most hospitals require that this be properly and securely installed before leaving hospital, so be sure to install it before picking the baby up.
Learn more about the babies from A.D.A.M.'s Pregnancy SmartSiteTM located within our SmartEngage product. In addition, the US Environmental Protection Agency website is a good source for ways to measure and mitigate radon in your home. If you have more questions Ask A Doctor. If you are interested in licensing our content, please contact us.
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