Central Kansas Mental Health Center (CKMHC)

• is a Certified Community Behavioral Health Center (CCBHC),
• is licensed in the treatment of Substance Use Disorder (SUD),
• is a licensed Community Mental Health Center (CMHC) in the State of Kansas.

If you have any feedback, complaints, or grievances; please provide it in the space below.

Central Kansas Mental Health Center has developed and implemented written grievance procedures for people receiving services (PRS) to ensure prompt, impartial review of any alleged or apparent incident, a violation of rights or confidentiality.

The procedure includes but is not limited to the following:

• Completion of the review within 30 calendar days.
• Appeal process including the address and phone number of the

Department for Children and Families which shall be

conspicuously posted in the facility.

The licensee shall cooperate with the Department for Children and Families in completion of any inquiries related to client rights conducted by DCF staff.

The licensee shall ensure that no PRS or agency personnel who has submitted a complaint or has participated in the investigation will be discharged or discriminated against in any way.

RO3-203 G

To make a complaint in writing, please contact:

Central Kansas Mental Health Center

Attn: Quality Assurance

809 Elmhurst Blvd.

Salina, KS 67401

If there is a problem which prevents you from receiving help or benefit from CKMHC services, please let staff know. It is best to discuss problems first with your primary treatment provider.

If you do not feel comfortable doing this, the customer service representatives will help you contact the appropriate supervisor or director. If you prefer to speak with someone who is not directly responsible for your treatment, you can contact the Director of Quality Assurance/Improvement who is responsible for addressing any issues related to the quality of the services provided at CKMHC.

As a final option, you may contact the Executive Director with any concerns. If you feel as though the CKMHC has not adequately addressed your concerns or you wish to directly file a grievance with another entity, you may, at any time.

*This process is in support of Standards for Licensure/Certification of Alcohol and/or Other Drug Abuse Treatment Programs RO3-601(A)(16)(C)(b) set forth by State of Kansas Department of Social and Rehabilitation Services Division of Health Care Policy November 1, 2006

You have the right to contact people outside CKMHC about your concerns. These are some places you may wish to contact.

Kansas Department of Aging and Disability Services (KDADS)

New England Building 503 S. Kansas Ave. Topeka, KS

66603

Main: 1-(785)-296-4986

TTY Number: 1-(785)-291-3167

Toll-Free (in Kansas Only) (800)-432-3535

Office of Civil Rights

U.S Department of Health & Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, D.C. 20201

Toll-Free: (800)-368-1019

TTD Toll-Free (800)-537-7697

.

Medicaid members can also contact their respective Medicaid plan representative:

Healthy Blue - 1-833-838-2593

Sunflower State Plan - 1-877-644-4623

United - 1-877-542-9238

If you are currently experiencing a medical crisis and/or behavioral health emergency and need immediate assistance please do not leave that information in this survey as it can be anonymous and will not immediately alert a clinician.