Member Rights

You can find a complete list of member rights and responsibilities in the Oregon Health Plan Client Handbook. To obtain a copy go to https://apps.state.or.us/Forms/Served/hx9035.pdf or to request the booklet in English or other language, large print, Braille, on tape or another format contact member services at Capitol Dental Care or the State by calling 1-800-359-9517 or TTY 1-800-621-5260.

Right to Receive Services without Discrimination

You have the right to be free from discrimination on the basis of race, color, national origin, age, disability, or sex.Capitol Dental Care’s Notice of Nondiscrimination.

Right to Privacy

You have the right to maintain the privacy of your personal health information and to receive a notice about our privacy practices, our legal duties and your rights concerning your protected health information.
Capitol Dental Care’s Notice of Privacy Practices
Oregon Health Authority Notice of Privacy Practices

Right to Complain – File a Complaint

A complaint is dissatisfaction with any matter such as staff rudeness or receipt of poor services. You have the right to file a complaint with Capitol Dental Care in writing or by telephone.

Right to File an Appeal

If you receive a letter (Notice of Action) denying services and you disagree with the decision, you may file an appeal with Capitol Dental Care. You must start you appeal by calling or in writing within 60 days of the date of the letter. If you call, you will have to follow up with a written, signed appeal. Written appeal and administrative hearing requests can be mailed, faxed, or emailed to CDC or your local DHS branch office.
You must complete Capitol Dental Care’s appeal process before you can request a hearing from OMAP. A Hearing and Appeal request form is available at https://aix-xweb1p.state.or.us/es_xweb/DHSforms/Served/he3302.pdf

Right to Contact Capitol Dental Care

By Phone: 1-800-525-6800

By Fax: 503-581-0043

By Mail: 3000 Market St. NE,#228, Salem, Oregon, 97301

By Email:

Member Services – members@capitoldentalcare.com

Provider Services – providers@capitoldentalcare.com

Compliance – compliance@capitoldentalcare.com

Other – admin@capitoldentalcare.com

Nondiscrimination section 1557 (CDC)
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