What is a grievance?
Grievance means an expression of dissatisfaction about any matter other than an adverse benefit determination. Grievances can be filed with the network behavioral health agency or the SBH-ASO office.
A grievance may be filed orally or in writing. You can file your concern in person, by telephone, or in writing. You may file the concern or an authorized representative may file the concern for you if you give written permission for them to do so in writing. Typically, grievances about direct services are filed with your behavioral health agency. These are referred to as agency level grievances. If you are not satisfied with the offered resolution, you can file a BH-ASO level grievance with the SBH-ASO office. You also have the option of initially filing your concern directly with the SBH-ASO office:
360-337-7050 or 800-525-5637614 Division Street, MS-23Port Orchard, WA 98367
Every agency and SBH-ASO grievance is acknowledged in writing within five (5) business days of receipt of the grievance. The letter explains what actions will be taken to resolve your concern.
A written resolution must be provided no longer than 90 calendar days from the date the agency or the SBH-ASO receives the grievance.
Yes, your behavioral health services may continue through your authorization period. Contact the SBH-ASO immediately if you feel your services have been affected as a result of sharing your concern.
If you are not satisfied with the offered resolution to your provider level grievance, you may file a BH-ASO level grievance.
The BH-ASO’s written decision on the grievance is the final decision. The grievance cannot progress to a Fair Hearing unless the BH-ASO does not act within the grievance process time frames (above).
A Fair (or Administrative) Hearing is a proceeding in front of an administrative law judge (ALJ).
Fair Hearings are filed with the Department of Social & Health Services (DSHS) Office of Administrative Hearings: 1-800-583-8271.