The Ombudsman works as a liaison with county case managers to ensure that people are getting appropriate services from HMOs. They help consumers with the HMO grievance process and procedures. This is especially the case for our customers on Medical Assistance (HMO Advocates). The Ombudsman also helps people access appropriate medically necessary services and advises on continuity of care issues.
The Ombudsman also functions as the client rights specialist in our Adult Community Services Division when individuals have disputes or complaints about certain benefits and services related to in-patient and residential services and other community based services. The Ombudsman can also help customers to resolve W-2, Medicaid and other public assistance related problems. Providing information regarding services, advocacy and programs is a typical role our Ombudsman plays.