Your Rights
You have the right
to appeal.
If you disagree with a decision about your care, you have the right to file a grievance or appeal. We will support you through the process.
Understanding Your Options
What's the difference?
A complaint about the quality of care or services you received. Use a grievance when something went wrong.
Examples:
- Staff treated you disrespectfully
- You had trouble accessing services
- A service was delivered incorrectly
A request to review a decision to deny, reduce, or stop a service. Use an appeal when you disagree with a coverage decision.
Examples:
- A service was denied
- Your level of care was reduced
- A prior authorization was rejected
File a Grievance
How to submit a grievance
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Contact DWIHN
Call (313) 344-9099 or submit in writing within 90 days of the incident.
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We investigate
DWIHN reviews your complaint within 90 calendar days.
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You receive a decision
A written resolution notice is mailed to you.
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Not satisfied?
You can escalate to the Michigan Recipient Rights process.
File an Appeal
How to appeal a decision
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Act within 60 days
You have 60 days from the date of the denial notice to file your appeal.
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Submit your appeal
Call (313) 344-9099 or submit in writing. Request an expedited review if your situation is urgent.
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We review your appeal
Standard appeals are resolved within 30 days. Expedited appeals within 72 hours.
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Hearing rights
If the appeal is denied, you may request a State Fair Hearing to have your case reviewed independently.
Need help filing?
We can help you every step of the way. Assistance is free and confidential. Our team will not retaliate against you for filing a complaint or appeal.
Available Monday–Friday, 8:00 a.m.–4:30 p.m.
Toll-free: (888) 490-9698
TTY: 711
Grievances: pihpgrievances@dwmha.com
Appeals: pihpmemberappeals@dwihn.org
Additional resources
If you feel your concerns have not been addressed, these independent organizations can help.