RESOURCE COLLECTION
Grievance and appeal information for members of Behavioral Health Services
Information, forms, and notices for all BHS programs, including BHSA-funded programs. For Healthy Workers members, see the Resources section below to file a grievance or appeal directly with SFHP.
Documents
Informational Handout (BHS 315) describes the appeal process for Medi-Cal members and the grievance process for all members receiving San Francisco Behavioral Health Services. Also available in Chinese/Chinese-LARGE print, Russian, Spanish/Spanish-LARGE print, Tagalog, and Vietnamese. English-LARGE print
Grievance and Appeal Form (BHS 316) is for members or their authorized representative to file a grievance or to request an appeal. Authorized representatives include relatives, friends, advocates, or your provider, who can help you in the grievance process with your written consent. Also available in: Chinese/Chinese-LARGE print, Russian, Spanish/Spanish-LARGE print, Tagalog, and Vietnamese. English-LARGE print
BBS Notice to Clients (BHS 317) informs members of option to file a complaint with the Board of Behavioral Sciences about services provided by its licensed or registered professionals. Also available in: Chinese/Chinese-LARGE print, Russian, Spanish/Spanish-LARGE print, Tagalog, and Vietnamese. English-LARGE print
The taglines inform members, potential enrollees, and the public of the availability of no-cost language assistance services, including assistance in non-English languages and the provision of free auxiliary aids and services for people with disabilities. If you need help in your language call 1-888-246-3333 (TTY: 711).
Resources
Grievance and appeal information for SFHP Healthy Workers enrolled in BHS