NATIVE HEALTH complies with all applicable civil rights laws. It does not exclude, deny benefits or services to, or otherwise discriminate against any person or treat them differently because of their ability to pay; Medicare, Medicaid, or Children’s Health Insurance Program coverage; or because of race, color, sex, national origin (including limited English proficiency and primary language), disability, religion, age, sexual orientation, gender identity, diagnosis, or marital status.
NATIVE HEALTH:
If you need these services, you may contact the NATIVE HEALTH Chief Compliance Officer as follows:
Mitchell Terry
Chief Compliance Officer
NATIVE HEALTH
4041 North Central Avenue
Building C
Phoenix, AZ 85042
(602) 279-5262, ext. 11028
FAX: (602) 279-5390
email: mterry@nachci.com
If you believe that NATIVE HEALTH has failed to provide these services when required or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Mitchell Terry
Chief Compliance Officer
NATIVE HEALTH
4041 North Central Avenue
Building C
Phoenix, AZ 85042
(602) 279-5262, ext. 11028
FAX: (602) 279-5390
email: mterry@nachci.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, NATIVE HEALTH’s Chief Compliance Officer is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
You will not be retaliated against or punished for making a complaint under this policy to Native Health or any government official.
This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, Section 1557 of the Affordable Care Act of 2010, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations Part 80, 84, 91 and 92. (Other Federal Laws and Regulations provide similar protection against discrimination on grounds of sex and creed).