You can ask a relative, friend, advocate or doctor or anyone else to represent you. You and your representative must sign a legal letter that allows them to act for you. Your representative can file a complaint (grievance), make appointments, or make an appeal for you.
An Appointment of Representative form must be completed and submitted to appoint a representative. CMS_1696 Appointment of Representative Form (PDF).
CMS and MDHHS audit results available upon request. For more information, call (269) 888-6108
HIPAA – Notice of Privacy Practices 1-25-21
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