Agency Directory

Where a healthcare complaint actually goes — and who has jurisdiction
Agency

Arizona Department of Health Services (ADHS)

The state agency that licenses and certifies Arizona healthcare facilities and runs facility complaint intake.

Jurisdiction: Arizona facility licensing & certification. Complaint intake: see azdhs.gov (Editor TODO: add direct portal URL + phone).

Official site →

Agency

Arizona Health Care Cost Containment System (AHCCCS)

Arizona's Medicaid agency — complaints about managed-care plans, coverage, and care coordination for Medicaid members.

Jurisdiction: Arizona Medicaid (managed care). Complaint intake: see azahcccs.gov (Editor TODO: add direct portal URL + phone).

Official site →

Agency

Medicare Quality Improvement Organization (BFCC-QIO)

The federal Beneficiary and Family Centered Care QIO handling Medicare quality-of-care complaints and discharge appeals.

Jurisdiction: Medicare quality-of-care review & discharge appeals. Editor TODO: confirm current Arizona BFCC-QIO contractor + phone.

Official site →

Agency

Centers for Medicare & Medicaid Services (CMS)

The federal agency behind Medicare/Medicaid certification and the Conditions of Participation.

Jurisdiction: federal Medicare/Medicaid certification & Conditions of Participation.

Official site →