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Non-Discrimination Notice

Champion Payer Solutions (aka Champion MSO) complies with applicable federal civil rights laws.  Champion does not discriminate or exclude individuals, deny benefits, or treat them differently on the basis of, or because of, race, color, national origin, age, disability, religion, sexual orientation, or gender identity.

Champion provides free aids and services to individuals with disabilities to assist them in  communicating effectively with the health plan.  Such services may include but are not limited to qualified sign language interpreters, and written information in various formats such as: large print, audio, accessible electronic formats, and others.

Champion provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services or believe that Champion has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or gender identify, contact Champion Member Services at: 

By Telephone: Dial 1-800-885-8000

By TTY: Dial “711”

By US Mail:
Champion Grievance Department
PO Box 15337
Long Beach, CA  90815-9995

 

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, or an appeal Champion Member Services is available to help you. 

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.  Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

By Telephone: 1-800-368-1019 (TTY: 1-800-537-7697)

By Mail: U.S. Department of Health and Human Services,

200 Independence Avenue, SW 

Room 509F, HHH Building

Washington, D.C. 20201

 

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