Office of Patient Protection
Welcome to the Office of Patient Protection within the Department of Public Health. The Office of Patient Protection was created pursuant to Chapter 141 of the Acts of 2000 signed into law by Governor Cellucci on July 21, 2000. In Janaury 2001, the Office of the Managed Care Ombudsman, created by an Executive Order, became part of the Office of Patient Protection.
Effective January 1, 2001, Massachusetts consumers and other individuals who receive health coverage from a Massachusetts carrier, insurer or HMO are entitled to new protections covering internal grievances, medical necessity guidelines, continuity of care and independent external reviews.
Quick Links
- Managed Care Protections and Grievances
- External Review Processes
- Statistics and Reports
- Managed Care Bulletins and Memoranda
- Managed Care Statutes and Regulations
- Frequently Asked Questions (Also Available in Foreign Languages)
- Helpful Links
Contact Information
If you are a carrier, insurer, HMO or consumer and have questions concerning the legislation, regulations, or your rights as a managed care consumer, please contact the Department of Public Health Office of Patient Protection (OPP) at 1-800-436-7757. The managed care ombudsman will be happy to assist you. You may also contact OPP through the email.
If you have a complaint about a managed care plan, you can contact the Bureau of Managed Care within the Division of Insurance at 617-521-7372.
This information is provided by the Office of Patient Protection within the Department of Public Health.