Grievance and Appeal Instructions
All of us at LIFE share the responsibility for assuring that you are satisfied with the care you receive. We encourage you to express any complaints you have at the time and place any dissatisfaction that occurs. To be consistent with federal regulations for the program, your complaints or dissatisfaction with our program or decisions are identified as either grievances or appeals. Those processes are described below.
The definition of a grievance is a complaint, either oral or written, expressing dissatisfaction with service delivery or the quality of care furnished.
A grievance may be received from you, family member or representative by phone, mail, fax or in-person by contacting:
LIFE Armstrong County
115 Nolte Drive Ext.
Kittanning, PA 16201
LIFE Beaver County
131 Pleasant Drive
Aliquippa, PA 15001
LIFE Butler County
231 West Diamond St.
Butler, PA 16001
LIFE Lawrence County
2911 West State St.
New Castle, PA 16101
The definition of an appeal is an action taken by you with respect to your disagreement with our non-coverage of or non-payment for a service, denial of enrollment, or involuntary disenrollment from the program.
You will be notified in writing if we:
The notice will instruct you how to appeal our decision if you do not agree with it. You must request an appeal within 30 days of our notice to you.
An involuntary disenrollment for noncompliance with your care plan or conditions of participation, engaging in disruptive or threatening behavior, failing to pay or make satisfactory arrangements to pay, or being out of the service area for more than 30 days without prior approved arrangements, will automatically be considered an appeal.
CMS and PA SAA approved 11/29/2021