405 IAC 5-21.8-11 Complaints and grievances

Sec. 11. (a) The following individuals may file a written complaint or a written grievance with the state or the office: (1) An applicant. (2) A member. (3) A duly authorized representative of: (A) an applicant; or (B) a member. (b) Upon receipt of a complaint or grievance, the office shall: (1) log the complaint or grievance; and (2) initiate an investigation. (c) The office's decision with regard to a complaint or grievance is not appealable. (d) The filing of a complaint or grievance is not a prerequisite to filing an appeal under section 10 of this rule. (e) If the office issues findings regarding a complaint or a grievance of an applicant or a member, the office may require the provider agency to correct an identified deficiency within a timeline established by the office. A provider agency's failure to correct the deficiency within the established timeline may result in sanctions up to and including decertification of the provider agency.