Grievances
Grievance policies have been developed for clients and grantees to provide procedures related to funding decisions, including procedures for submitting grievances that cannot be resolved by binding arbitration. The legislation requires that these procedures be consistent with model grievance procedures developed by Health Resources and Services Administration (HRSA), which address grievances with respect to Ryan White funding.
The Client Grievance Policy is established to provide a mechanism for resolution and reporting of disputes initiated by eligible Client recipients of Ryan White Part A Program funded services in the Phoenix EMA.
Initial complaints and grievances should be addressed at the lowest possible level and escalated to the Maricopa County Ryan White Part A Grantee office only when the issue or grievance cannot be resolved at the lowest level. The bypassing of any level will result in the Grievance being returned to the lowest bypassed level.
Anonymous complaints cannot be accepted, as anonymity does not allow for a full inquiry of the relevant issues.
Review the policy for complete details. View the Client Grievance Policy (PDF) or the Client Grievance Policy - Spanish (PDF).
To file a form grievance, the following forms are needed (please review the policy for complete details).
This form needs to be completed and submitted within ten (10) business days after the attempt at informal dispute resolution, or, if no informal discussion is attempted, within ten (10) business days after the event on which the grievance is based or after the decision was announced.
Forms
Use this form if the Client or Provider feels the issue has not been resolved they may appeal in writing by submitting copies of the original completed Client Grievance Form and the final written decision from the Provider including a completed Client Grievance Appeal Form.
Forms
The Grantee's Grievance Policy is designed to provide a process that enables eligible individuals or entities to exercise their right to file an informal complaint or a formal grievance with regard to specific Grantee policies and procedures and their implementation. It also provides a process that prevents avoidable grievances and resolves complaints at the informal level whenever possible and ensures that each complaint or grievance is addressed and resolved fairly and quickly.
Please review the policy for complete details. View the Grantee Grievance Policy (PDF) or Example of Grievance or Complaint Log (PDF).
To file a formal grievance, the following forms are needed.
Use this form when the affected party must submit a written Grievance Intake Form within ten (10) business days after the attempt at informal dispute resolution, or, if no informal discussion is attempted, within ten (10) business days after the event on which the grievance is based or after the decision was announced.
Forms
The Binding Arbitration Form (PDF) should be used when the grievant may submit a Request for Binding Arbitration to the Grantee office. The completed form must be received by Grantee representative within ten (10) business days from the receipt of the written report from the Director or designee to request binding arbitration.
Client Grievance
The Client Grievance Policy is established to provide a mechanism for resolution and reporting of disputes initiated by eligible Client recipients of Ryan White Part A Program funded services in the Phoenix EMA.
Initial complaints and grievances should be addressed at the lowest possible level and escalated to the Maricopa County Ryan White Part A Grantee office only when the issue or grievance cannot be resolved at the lowest level. The bypassing of any level will result in the Grievance being returned to the lowest bypassed level.
Anonymous complaints cannot be accepted, as anonymity does not allow for a full inquiry of the relevant issues.
Review the policy for complete details. View the Client Grievance Policy (PDF) or the Client Grievance Policy - Spanish (PDF).
File a Form Grievance
To file a form grievance, the following forms are needed (please review the policy for complete details).
Client Grievance Form
This form needs to be completed and submitted within ten (10) business days after the attempt at informal dispute resolution, or, if no informal discussion is attempted, within ten (10) business days after the event on which the grievance is based or after the decision was announced.
Forms
Client Grievance Appeal Form
Use this form if the Client or Provider feels the issue has not been resolved they may appeal in writing by submitting copies of the original completed Client Grievance Form and the final written decision from the Provider including a completed Client Grievance Appeal Form.
Forms
Grantee Grievance
The Grantee's Grievance Policy is designed to provide a process that enables eligible individuals or entities to exercise their right to file an informal complaint or a formal grievance with regard to specific Grantee policies and procedures and their implementation. It also provides a process that prevents avoidable grievances and resolves complaints at the informal level whenever possible and ensures that each complaint or grievance is addressed and resolved fairly and quickly.
Please review the policy for complete details. View the Grantee Grievance Policy (PDF) or Example of Grievance or Complaint Log (PDF).
File a Grievance
To file a formal grievance, the following forms are needed.
Grievance Intake Form
Use this form when the affected party must submit a written Grievance Intake Form within ten (10) business days after the attempt at informal dispute resolution, or, if no informal discussion is attempted, within ten (10) business days after the event on which the grievance is based or after the decision was announced.
Forms
Binding Arbitration Form
The Binding Arbitration Form (PDF) should be used when the grievant may submit a Request for Binding Arbitration to the Grantee office. The completed form must be received by Grantee representative within ten (10) business days from the receipt of the written report from the Director or designee to request binding arbitration.