It is the right of all enrollees to file a Grievance concerning HSCSN’s services and benefits without prejudice and to obtain consideration and resolution to those Grievances. A Grievance is defined as an expression of dissatisfaction about any matter other than an Action.
A Grievance may be filed at any time orally or in writing. A provider or authorized representative may also submit a grievance on behalf of an enrollee with the enrollee’s written consent.
To file a Grievance, you should call the Grievance and Appeal Hotline at (202) 495-7582, email (riskmanagement@hschealth.org), or send your letter to:
Health Services for Children with Special Needs, Inc.
ATTN: Risk Management
1101 Vermont Avenue NW
Suite 1200
Washington, DC 20005
Unusual Incident Report
Report any of the following safety issues to HSCSN:
- Unusual Occurrence/Incident – an incident that does not meet safety standards or the standard of care or routine operations of a provider that deviate from regular operations or established procedures.
- Sentinel Event – an unexpected occurrence involving death or serious physical or psychological injury, or risk thereof.
- Serious Reportable Event/Never Event – an error in medical care that is clearly identifiable, preventable, and serious in their consequences for patients, includes surgical events, product or device events, patient protection events, care management events, environmental events and criminal events.
All issues should be reported on the HSCSN Unusual Incident Report Form [PDF - 824 KB] and sent to Catherine Pearcy, Vice President & Chief Compliance Officer, at cpearcy@childrensnational.org. You may also fax them to (202) 635-5591.