^-A ⁺A

Publications

08/19/2022 - 12:00pm

Grievances & Appeals Data Dictionary

Grievances & Appeals Data Dictionary

02/18/2022 - 12:00pm

Out-of-Pocket Reimbursement Form - Spanish

Out-of-Pocket Reimbursement Form - Spanish

06/17/2021 - 12:00pm

Qualified Medicare Beneficiary Program Fact Sheet

Qualified Medicare Beneficiary Program Fact Sheet

Document:

QMB Fact Sheet 2021.pdf (128.2 KB)

02/01/2021 - 12:00pm

FY 2021 OHCOBR Annual Report

FY 2021 Office of Health Care Ombudsman and Bill of Rights Annual Report

Document:

FY20 Annual Report.pdf (1.26 MB)

02/10/2020 - 12:00pm

FY 2018 OHCOBR Annual Report

FY 2018 Office of Health Care Ombudsman and Bill of Rights Annual Report

Document:

FY18 OHCOBR Annual Report.pdf (2.31 MB)

02/03/2020 - 12:00pm

FY 2020 OHCOBR Annual Report

FY 2020 Office of Health Care Ombudsman and Bill of Rights Annual Report

Document:

FY20 Annual Report.pdf (1.26 MB)

01/13/2020 - 12:00pm

Authorization for Use and Disclosure of Private/Protected Health Information

Authorization for Use and Disclosure of Private/Protected Health Information

Document:

Medical Authorization Form.pdf (172.33 KB)
Document:

Medical Authorization Form (Fillable).pdf (240.94 KB)

11/07/2019 - 12:00pm

Your Health Care Advocate - Amharic

Your Health Care Advocate Brochure - Amharic

Document:

Your Health Care Advocate - Amharic (858.88 KB)

11/07/2019 - 12:00pm

Your Health Care Advocate - Chinese

Your Health Care Advocate Brochure - Chinese

Document:

Your Health Care Advocate - Chinese (848.64 KB)

11/07/2019 - 12:00pm

Your Health Care Advocate - French

Your Health Care Advocate Brochure - French

Document:

Your Health Care Advocate - French (581.21 KB)

Subscribe to Publications List