Grievances and Appeals
If you are not satisfied with the services you have received, please review your options below.
Grievances
A grievance is when you tell us that you are not happy with the services you received. This might include the following examples.
- When you are having trouble getting the services you need
- When you are having trouble getting an appointment
- When you are not happy with the quality of care or service
- When you believe a provider did not respect your rights
- When you have been abused or mistreated by staff of a provider
- When you believe Magellan did not handle a concern right
You can submit a grievance to Magellan by:
- Complete our online grievance form
- Call us at: 1-855-883-8740 or 7-1-1 language assistance services.
- Email or mail your grievance letter to us.
- Magellan Healthcare, Inc./Wyoming Care Management Entity
C/O Quality Department
PO Box 058, Evanston, WY 82931 - WYQuality@Magellanhealth.com
- Magellan Healthcare, Inc./Wyoming Care Management Entity
We will contact you within three business days once we receive your grievance.
See your Magellan member handbook for more information on Magellan’s grievance procedure.
Appeals
An appeal is a formal request to Magellan. It asks for a review of a decision about your behavioral health services. You have the right to ask for a review of the following:
- Denial of a service you or your provider asked for
- Decrease in a service
- End or suspension of a service
- Denial of payment for a service
- Failure to provide services fast enough
- Failure of Magellan to act within time limits to solve an appeal or grievance
- Denial of a request for services outside of the provider network. This applies when you cannot get needed services within the network.
How do I file an appeal?
If you need help sending an appeal, call Magellan at 1-855-883-8740 or if you are deaf or hard-of-hearing, call 7-1-1 and tell the person who answers the phone that you want to file an appeal.
Can I file a written appeal?
Mail or email your request and any supporting papers to:
Magellan Healthcare, Inc./Wyoming Care Management Entity
C/O Quality Department
PO Box 058
Evanston, WY 82931
Email: WYQuality@MagellanHealth.com
Phone: 1-855-883-8740
Within 3 days of your request, Magellan will let you know in writing that we got your appeal.
Where can I find more about appeals?
Your Member Handbook can answer more questions about appeals like:
- What is an expedited appeal?
- What happens after I file an appeal?
- How is my appeal resolved?
- What if I am not happy with my appeal results?
- How do I ask for a State Fair Hearing?
- What is the process for my State Fair Hearing?
- How is my State Fair Hearing resolved?
- Will my services continue during the Appeal or State Fair Hearing?
* If you’re helping someone who does not speak English, call the number above. We will make sure they get help in their own language for free.
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You can file your grievance online: