Complaints and Appeals
What should I do if I have a complaint? Who do I call?
MHS Health Wisconsin wants to help. Any one on our staff can accept your complaint. If you have a complaint, you can also call your Member Advocate. Most of the time, we can help you right away or at most, within a few days. Call toll free at 1-800-547-1647 and ask for an advocate. You can also file a complaint through our website. Click on "Contact" at the top of the page. Or you can write us at:
10700 W. Research Dr.,
Milwaukee, WI 53226
If you want to talk to someone outside of MHS Health about the problem, call the HMO Enrollment Specialist at 1-800-291-2002. The Enrollment Specialist may be able to help you solve the problem. They can also help you write a formal complaint to MHS Health or to the State HMO Program. The address of the State HMO Program is:
P.O. Box 6470
Madison, WI 53716.
We cannot treat you differently than other Members because you file a complaint. Your healthcare benefits will not be affected.
Can someone from MHS Health help me file a complaint?
Our MHS Health Member Advocate can help you file a complaint. Call toll free at 1-800-547-1647 and ask for an advocate.
What are the requirements and timeframes for filing a complaint?
You can file a complaint at any time. A complaint may be filed over the phone, by mail, or online at http://www.mhswi.com/contact-us.html.
How long will it take to process my complaint?
Most of the time we can help you right away or at the most within a few days. MHS Health will have an answer to your complaint within thirty (30) days of the date you submit your complaint.