HPSM’s Grievance and Appeals Process
The federal Centers for Medicare and Medicaid Services (CMS) and the State of California have regulations that give health care consumers the right to file complaints about the care and/or service they receive. HPSM and our providers are legally required to comply with these regulations. Here is a summary of your responsibilities regarding HPSM requests for information related to member complaints.
Learn more about HPSM's Grievance and Appeals process in section 3 of HPSM's Provider Manual.
Grievance and Appeals Unit
Toll free: 1-888-576-7227
Monday–Friday 8:00 a.m. to 5:00 p.m.