Habitat Health Regulatory Notices | Important Information for Patients | Habitat Health

Now open in Sacramento, CA:

1-844-664-2248, TTY: 711

Check Eligibility

Regulatory Notices

Notice of Privacy Practices (HIPAA)

English Arabic Chinese (Simplified)Chinese (Traditional)Farsi Hmong Russian Spanish Vietnamese

Participant Bill of Rights

English Arabic Chinese (Simplified)Chinese (Traditional)Farsi Hmong Russian Spanish Vietnamese

How to File a Grievance

English Arabic Chinese (Simplified)Chinese (Traditional)Farsi Hmong Russian Spanish Vietnamese

Grievance Form

English Arabic Chinese (Simplified)Chinese (Traditional)Farsi Hmong Russian Spanish Vietnamese

How to File an Appeal

English Arabic Chinese (Simplified)Chinese (Traditional)Farsi Hmong Russian Spanish Vietnamese

Appeal Form

English Arabic Chinese (Simplified)Chinese (Traditional)Farsi Hmong Russian Spanish Vietnamese

Appointment of Representative

CMS-1696 (English)CMS-1696 (Spanish)