Optimae LifeServices does not discriminate in the provision of services to an individual (a) because the individual is unable to pay, (b) because payment for those services would be made under Medicare, Medicaid or Hawk I (CHIP) or (c) based upon the individual’s race, color, gender identity or expression, national origin, disability, religion, spiritual beliefs, age, socioeconomic status, sex or sexual orientation (or any other characteristic protected by law).
If you believe that Optimae has discriminated on the basis of race, color, gender identity or expression, national origin, disability, religion, spiritual beliefs, age, socioeconomic status, sex or sexual orientation (or any other characteristic protected by law), you can file a grievance with Director of Risk Management Scott Amos, 226 West Main Street, Suite 201, Ottumwa, IA, samos@optimaelifeservices.com, or 641-684-6441. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Scott Amos, director of risk management, 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, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, or 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.