If your insurer does not follow the new behavioral health network adequacy rules and regulations, help is available. You can file a complaint with your insurer, get assistance from New York State, and/or talk to New York’s Behavioral Health Ombudsman, the Community Health Access to Addiction & Mental Healthcare Project (CHAMP).
If you have Medicaid, Essential Plan, Child Health Plus, or other Health Maintenance Organization (HMO) coverage, file a complaint with New York State Department of Health (DOH) using the contact information below.
- Medicaid Managed Care: (800) 206-8125
- Child Health Plus: (800) 698-4543
- Essential Plan: (855) 355-5777
- HMO: (800) 206-8125
- More information on filing a complaint with DOH
For all other health insurance plans, file a complaint with the Department of Financial Services (DFS) using the options below.
Get Additional Assistance with CHAMP
If you have questions, need assistance, or want to file a complaint or an appeal, you may also ask for help from the Community Health Access to Addiction & Mental Healthcare Project (CHAMP) helpline. Call CHAMP at (888) 614-5400 Monday - Wednesday, 9 AM - 7 PM or Thursday - Friday, 9 AM - 4 PM, or send an email to CHAMP.