The Ombudsman Program is designed to assist MHS members in finding effective ways to resolve concerns or complaints about the benefits and services provided under their MHS coverage plan. The program will provide support to members and their families or representatives and work with MHS and providers to solve problems and misunderstandings and create responses based on an individual’s needs. The Ombudsman toll-free number is 1-877-647-5326.
The aim of the ombudsman program is to provide MHS members with free and easy access to an independent party which will investigate and help with member concerns, provide member education, and help members contact the right people for assistance within the Medicaid system and MHS. It is the hope of MHS that our members will feel comfortable accessing a trusted community-based organization with any concerns they may have about the health plan or the services they have received. A non-profit, independent organization manages the Ombudsman program.
You do not have to use the ombudsman. You can talk to MHS directly about any problems you may be having.
If you would like to learn more about the Ombudsman program, please call MHS Member Services.