California: Offer member grievance forms at your office

California regulations require providers to make member grievance forms for health plans available at all office or facility locations. From this page, you can download both the CA HMO and CA DMO GRIEVANCE FORMS in English or Spanish (including the member’s rights and responsibilities).

Free interpretation service
We encourage you to use our free Language Assistance Program (LAP) if you need help when giving care to non-English-speaking Aetna members. Call 1-800-525-3148 to reach a qualified interpreter.

Members can request interpretation services from our LAP by calling the Member Services number on their ID card. They can contact our LAP for general questions, to file a grievance or to obtain a grievance form.

If you have questions about this state program, call these numbers:

For HMO and DMO plans, call the CA Department of Managed Health Care Help Center at 1-888-HMO-2219 (TDD: 1-877-688-9891).
For traditional plans, call the CA Department of Insurance Hotline at 1-800-927-4357.

The CA HMO Help Center is available 24 hours a day, 7 days a week. It provides written translation of independent medical review and complaint forms in Spanish, Chinese and other languages. You can get paper copies by submitting a written request to:

Department of Managed Health Care
Attention: HMO Help Notices
980 9th Street, Suite 500
Sacramento, CA 95814


	Aetna OfficeLink Updates December 2015 Issue Number 4 Volume 12 Quick Links Archives Visit our website Contact us		Offer member grievance forms at your office California California regulations require providers to make member grievance forms for health plans available at all office or facility locations. From this page, you can download both the CA HMO and CA DMO GRIEVANCE FORMS in English or Spanish (including the member’s rights and responsibilities). Free interpretation service We encourage you to use our free Language Assistance Program (LAP) if you need help when giving care to non-English-speaking Aetna members. Call 1-800-525-3148 to reach a qualified interpreter. Members can request interpretation services from our LAP by calling the Member Services number on their ID card. They can contact our LAP for general questions, to file a grievance or to obtain a grievance form. If you have questions about this state program, call these numbers: For HMO and DMO plans, call the CA Department of Managed Health Care Help Center at 1-888-HMO-2219 (TDD: 1-877-688-9891). For traditional plans, call the CA Department of Insurance Hotline at 1-800-927-4357. The CA HMO Help Center is available 24 hours a day, 7 days a week. It provides written translation of independent medical review and complaint forms in Spanish, Chinese and other languages. You can get paper copies by submitting a written request to: Department of Managed Health Care Attention: HMO Help Notices 980 9th Street, Suite 500 Sacramento, CA 95814 This material is for informational purposes only and contains only a partial, general description of plan benefits or programs and does not constitute a contract. Aetna arranges for the provision of health care services. While this material is believed to be accurate as of the print date, it is subject to change.