Your state’s insurance department can provide more information and instructions on how to file a request for external review. Often this information is posted on the department’s Web page. Additionally, your state may have an office of consumer advocacy that can provide you with additional information concerning your state’s specific external review laws and procedures.

• Alabama

  • Alabama Department of Insurance
    P O Box 303351
    Montgomery, AL 36130-3351
    Phone: 334-269-3550
    Email: Insdept@insurance.alabama.gov
    Website: http://www.aldoi.gov/
    Consumer Info Website: http://www.aldoi.org/Consumers/default.aspx

  Alabama Medicaid State Agency Contact Information

  • Alabama Medicaid Agency
    P.O. Box 5624
    Montgomery, AL 36103-5624
    1-334-242-5000

• Alaska

  • Alaska Division of Insurance
    9th Floor State Office Bldg.
    333 Willoughby Avenue
    PO Box 110805
    Juneau, Alaska 99811-0805
    Phone: 907- 269-7900
    Website: http://www.dced.state.ak.us/ins/
    Consumer information website: http://www.dced.state.ak.us/ins/consumerinfo.htm
  • Exernal Review Contact
    Katie Kimple
    Alaska Retirement and Benefits
    Phone: 907-465-4607
    Website: http://www.state.ak.us/drb/ghlb/insurancebenefits.shtml
    Email: katie_kimple@dcdc.state.ak.us

  Alaska Medicaid State Agency Contact Information

  • Division of Health Care Services
    P.O. Box 110660
    Juneau, Alaska 99811
    1-907-465-3355

• Arizona

  • Arizona Department of Insurance
    2910 N. 44th St. Suite 210
    Phoenix, AZ 85018-7269
    Phone: 800-325-2548
    Website: http://www.id.state.az.us/
    Consumer information website: http://www.id.state.az.us/consumer.html
  • External Review Contact
    Lorraine McCormack
    Health Care Appeals Manager
    Arizona Department of Insurance
    Phone: 602-364 2399
    Email: lmccormack@azinsurance.gov

  Arizona Medicaid State Agency Contact Information

  • Arizona Healthcare Cost Containment System
    801 E. Jefferson
    Phoenix, AZ 85034
    1-602-417-4000

• Arkansas

  • Arkansas Insurance Department
    200 West Third Street
    Little Rock, AR 72201
    Phone: 501-371-2600 or 800-282-9134
    Email: Insurance.LnH@arkansas.gov
    Website: http://insurance.arkansas.gov/
  • Ombudsman Contact Information
    Arkansas Insurance Department
    Consumer Services Division
    Phone: 501-371-2640 or 800-852-5494
    Website: http://www.insurance.arkansas.gov/Consumers/divpage.htm
  • External Review Contact
    Mary Coney
    Legal Division
    Arkansas Insurance Department
    Phone: 501-371-2820
    Email: mary.coney@arkansas.gov

  Arkansas Medicaid State Agency Contact Information

  • Division of Medical Services
    Department of Human Services
    P. O. Box 1437, Slot S401
    Little Rock, Arkansas 72203-1437
    1-800-482-8988
  • External Review Contact
    The Department of Human Services
    Appeals and Hearings Section
    P.O. Box 1437, Slot N401
    Little Rock, AR 72203-1437
    1-888-987-1200

• California

  • California Department of Insurance
    300 South Spring Street, South Tower
    Los Angeles, CA 90013
    Phone: 800-927-4357
    Website: http://www.insurance.ca.gov/
    Consumer website: http://www.insurance.ca.gov/0100-consumers/
    
    California Department of Managed Health Care
    California HMO Help Center
    980 Ninth Street, Suite 500
    Sacramento, CA 95814-2725
    Phone: 888-466-2219
    Website: http://www.dmhc.ca.gov/
    Consumer HMO Help Center website:
    http://www.dmhc.ca.gov/dmhc_consumer/default.asp
  • Ombudsmend Contact Information
    California Department of Insurance
    Ombudsman's Office
    300 Capitol Mall, Suite 1600
    Sacramento, CA 95814
    Phone: 916-492-3545
    Website: http://www.insurance.ca.gov/0500-about-us/0500-organization/0800-ombudsman-office/index.cfm
    
    California Department of Managed Health Care
    Office of the Patient Advocate (HMO patients)
    980 9th Street, Suite 500
    Sacramento, CA 95814
    Phone: 866-466-8900
    Website: http://www.opa.ca.gov/
  • External Review Contact
    Laura Dooley
    California Department of Managed Health Care
    Phone: 916-255-2368
    Email: ldooley@dmhc.ca.gov

  California Medicaid State Agency Contact Information

  • Medi-Cal
    P.O. Box 13029
    Sacramento, CA 95813-4029
    1-800-541-5555

• Colorado

  • Colorado Division of Insurance
    1560 Broadway, Suite 850
    Denver, CO 80202
    Phone: 303-894-7499
    Website: http://www.dora.state.co.us/Insurance/
    Consumer information website: http://www.dora.state.co.us/Insurance/consumer/consumer.htm
  • External Review Contact
    Dianne Abel
    Colorado Division of Insurance
    Phone: 303-894-7499
    Website: http://www.dora.state.co.us/Insurance/consumer/consumer.htm
    Email: dabel@dora.state.co.us

  Colorado Medicaid State Agency Contact Information

  • Colorado Department of Health Care Policy and Financing
    1570 Grant Street
    Denver, Colorado 80203-1818
    1-800-221-3943
  • External Review Contact
    Ombudsman for Medicaid Managed Care
    Denver Metro Area:
    1-303-830-3560
    Outside Denver Metro Area:
    1-877 435-7123

• Connecticut

  • Connecticut Insurance Department
    153 Market Street - 7th Floor
    Hartford, CT 06103
    Phone: 860-297-3800
    Email: ctinsdept.information@ct.gov
    Website: http://www.ct.gov/cid/site/default.asp
    Consumer information website: http://www.ct.gov/cid/taxonomy/ct_taxonomy.asp?DLN=46322&cidNav=|46322|
  • Ombudsmend Contact Information
    Office of the Healthcare Advocate
    P.O. Box 1543
    Hartford, CT 06144
    Phone: 866-HMO-4446
    E-mail: Healthcare.advocate@ct.gov
    Website: http://www.ct.gov/oha/site/default.asp
  • External Review Contact Information
    Moira Herbert
    Principal Insurance Examiner
    Connecticut Insurance Department
    Phone: 860-297-3862
    Email: Moira.Herbert@po.state.ct.us

  Connecticut Medicaid State Agency Contact Information

  • State of Connecticut
    Department of Social Services
    25 Sigourney Street
    Hartford, CT 06106-5033
    1-800-842-1508

• Delaware

  • Delaware Insurance Department
    841 Silver Lake Blvd
    Dover, DE 19904
    Phone: 302-674-7300
    Website: http://www.delawareinsurance.gov/
    Consumer information website: http://www.delawareinsurance.gov/departments/consumer/
  • External Review Contact Information
    Linda Nemes
    Delaware Insurance Department
    Phone: 302-674-7373
    Email: linda.nemes@state.de.us

  Delaware Medicaid State Agency Contact Information

  • Division of Medicaid and Medical Assistance
    1901 N. Du Pont Highway, Lewis Bldg.
    New Castle, DE 19720
    1-302-255-9500

• Florida

  • Florida Office of Insurance Regulation
    200 East Gaines Street
    Tallahassee, FL 32399
    Phone: 850-413-3140
    Website: http://www.floir.com/
    Consumer information website: http://www.floir.com/consumerinitiatives/consumerlinksofinterest.htm
  • Ombudsmen Contact Information Florida Department of Financial Services
    Insurance Consumer Advocate
    200 East Gaines Street
    Tallahassee, FL 32399
    Phone: 800-342-2762
    Website: http://www.fldfs.com/ica/
  • External Review Contact Information
    Nancy Radke
    Manger, Subscriber Assistance Program
    Agency for Healthcare Administration
    Phone: 850-414-8958
    Email: radken@ahca.myflorida.com

  Florida Medicaid State Agency Contact Information

  • Agency for Health Care Administration
    2727 Mahan Drive
    Tallahassee, FL 32308
    1-888-419-3456
  • External Review Contact Information
    Subscriber Assistance Program
    2727 Mahan Drive, Ft. Knox #1, Mail Stop 26
    Tallahassee, FL 32308
    1-888-419-3456

• Georgia

  • Georgia Insurance and Safety Fire Agency
    Two Martin Luther King, Jr. Drive
    West Tower, Suite 704
    Atlanta, Georgia 30334
    Phone: 404-656-2070 or 800-656-2298
    Website: http://www.inscomm.state.ga.us/
    Consumer information website: http://www.inscomm.state.ga.us/INSURANCE/ConsumerServices.aspx
  • External Review Contact Information
    Kimberly Anderson
    Department of Community Health
    404-657-4563
    Email: kanderson@dch.state.ga.us

  Georgia Medicaid State Agency Contact Information

  • Georgia Division of Medical Assistance
    2 Peachtree Street
    Atlanta, GA 30303
    1-404-651-8681

• Hawaii

  • Hawaii Department of Commerce and Consumer Affairs
    P.O. Box 3614
    Honolulu, Hawaii 96811
    Phone: 808-586-2804
    Website: http://www.hawaii.gov/dcca/areas/ins/
    Consumer information website: http://www.hawaii.gov/dcca/areas/ins/consumer
  • External Review Contact Information
    Colin Hayashida
    Department of Commerce & Consumer Affairs
    Phone: 808-586-2804
    Email: Colin.M.Hayashida@dcca.hawaii.gov

  Hawaii Medicaid State Agency Contact Information

  • Department of Human Services
    Medical Assistance Division
    801 Dillingham Boulevard
    3rd Floor
    Honolulu, HI 96817-4582
    1-808-587-3521

• Idaho

  • Idaho Department of Insurance
    700 West State Street
    P.O. Box 83720
    Boise, ID 83720-0043
    Phone: 800-721-3272
    Website: http://www.doi.state.id.us/
    Consumer information website: http://www.doi.state.id.us/consumer/consumer.aspx

  Idaho Medicaid State Agency Contact Information

  • Idaho Department of Health & Welfare
    450 West State Street, 4th Floor
    Boise, ID 83720-0036
    1-208-334-5939

• Illinois

  • Illinois Department of Insurance
    Springfield Office:
    320 W. Washington St.
    Springfield, IL 62767-0001
    Phone: 217-782-4515
    
    Chicago Office:
    100 W. Randolph St.
    Suite 9-301
    Chicago, IL 60601-3395
    Phone: 312-814-2420
    Website: http://www.idfpr.com/DOI/Default2.asp
    Consumer information website: http://www.idfpr.com/DOI/Main/consumer_info.asp
  • Ombudsmen Contact Information
    Illinois Office of the Attorney General
    Health Care Assistance
    Phone: 877-305-5145 or 800-964-3013
    Website: http://www.ag.state.il.us/consumers/healthcare.html
  • External Review Contact Information
    Dave Grant
    Illinois Department of Insurance
    Phone: 217-782-6369
    Email: dave.grant@illinois.gov

  Illinois Medicaid State Agency Contact Information

  • Department of Human Services
    100 South Grand Ave East
    Springfield, IL 62762
    1-217-557-1601

• Indiana

  • Indiana Department of Insurance
    311 West Washington St.
    Indianapolis, IN 46204-2787
    Phone: 317-232-2385
    Website: http://www.state.in.us/idoi/
  • Ombudsmen Contact Information
    Indiana Department of Insurance
    Consumer Service
    311 West Washington St.
    Indianapolis, IN 46204-2787
    Phone: 317-232-2395
    Website: http://www.in.gov/idoi/consumer_services/
  • External Review Contact Information
    Pam Atherton
    Review Agent Specialist
    Indiana Department of Insurance
    Email: patherton@idoi.IN.gov

  Indiana Medicaid State Agency Contact Information

  • Indiana Health Coverage Programs
    P.O. Box 7263
    Indianapolis, IN 46207
    1-800-577-1278

• Iowa

  • Iowa Insurance Division
    330 Maple Street
    Des Moines, IA 50319-0065
    Phone: 515-281-5705
    Website: http://www.iid.state.ia.us/
    Consumer information website: http://www.iid.state.ia.us/about_us/consumer.asp
  • Ombudsmen Contact Information
    Iowa Insurance Division
    Consumer Affairs Bureau
    Phone: 877-955-1212
    Website: http://www.iid.state.ia.us/about_us/consumer.asp
  • External Review Contact Information
    Yasmin Jeshani
    Iowa Insurance Division
    515-281-4241
    Email: Yasimin.jeshani@iid.state.ia.us

  Iowa Medicaid State Agency Contact Information

  • Iowa Department of Human Services
    Hoover State Office Building
    1305 E. Walnut
    Des Moines, Iowa 50319
    1-800-972-2017

• Kansas

  • Kansas Insurance Department
    420 SW 9th Street
    Topeka, Kansas 66612-1678
    Phone: 785-296-3071
    Website: http://www.ksinsurance.org/
    Consumer information website: http://www.ksinsurance.org/consumers/consumer.htm
  • Ombudsmen Contact Information
    Kansas Insurance Department
    Consumer Assistance Division
    Phone: 800-432-2484
    Website: http://www.ksinsurance.org/consumers/consumer.htm
  • External Review Contact Information
    Steve O'Neil
    Consumer Assistance Division
    Kansas Insurance Department
    Phone: 785-296-7826
    Email: soneil@ksinsurance.org

  Kansas Medicaid State Agency Contact Information

  • Kansas Health Policy Authority
    Suite 900-N
    Landon State Office Building
    900 SW Jackson Street
    Topeka, KS 66612
    1-785-296-3981

• Kentucky

  • Kentucky Office of Insurance
    215 W. Main St.
    Frankfort, KY 40601
    Phone: 800-595-6053
    Website: http://www.doi.state.ky.us/kentucky/
    Consumer information website: http://doi.ppr.ky.gov/kentucky/divs.asp?divid=5
  • Ombudsmen Contact Information
    Kentucky Office of Insurance
    Consumer Protection and Education Division
    P.O. Box 517
    Frankfort, KY 40602-0517
    Phone: 502-564-6034
    Website: http://doi.ppr.ky.gov/kentucky/divs.asp?divid=5
  • External Review Contact Information
    Lee Barnard
    Branch Manager-Utilization
    Kentucky Office of Insurance
    Division of Health Insurance Policy and Managed Care
    Phone: 800-595-6053 ext 4345
    Email: Lee.Barnard@ky.gov

  Kentucky Medicaid State Agency Contact Information

  • Cabinet for Health and Family Services
    Office of the Secretary
    275 East Main Street
    Frankfort, KY 40621
    1-800-372-2973

• Louisiana

  • Louisiana Department of Insurance, Office of Health Insurance
    P.O. Box 94214
    Baton Rouge, LA 70804
    Phone: 225-219-4770 or 800-259-5301
    Websites: http://www.ldi.state.la.us/ and http://www.ldi.state.la.us/Health/index.htm
    Consumer information website:
    http://www.ldi.state.la.us/Consumers/index.htm
  • Ombudsmen Contact Information
    Department of Insurance
    Office of Health Insurance
    Quality Management Consumers Affairs Unit
    Phone: 225-219-4776
    Email: crhodes@ldi.state.la.us
  • External Review Contact Information
    Cheryl Gordon
    Assistant Director
    Department of Insurance
    Office of Health Insurance
    Phone: 225-219-9524
    Email: cgordon@ldi.state.la.us

  Louisiana Medicaid State Agency Contact Information

  • Louisiana Department of Health and Hospitals
    628 N. 4th Street
    Baton Rouge, LA 70802
    1-888-342-6207

• Maine

  • Maine Department of Professional & Financial Regulation
    Bureau of Insurance
    #34 State House Station
    Augusta, ME 04333-0034
    Phone: 207-624-8475
    Website: http://www.maine.gov/pfr/insurance/
    Consumer information website: http://www.maine.gov/pfr/insurance/consumer/index.htm
  • External Review Contact Information
    Diane M. Williams
    Consumer Health Care Division
    Bureau of Insurance
    Phone: 207-624-8453
    Email: diane.m.williams@maine.gov

  Maine Medicaid State Agency Contact Information

  • Office of MaineCare Services
    442 Civic Center Drive
    11 State House Station,
    Augusta, Maine 04333-0011
    1-207-287-9202

• Maryland

  • Maryland Insurance Administration
    525 St. Paul Place
    Baltimore, MD 21202-2272
    Phone: 410-468-2000 or 800-492-6116
    Website: http://www.mdinsurance.state.md.us/
    Consumer information website: http://www.mdinsurance.state.md.us/jsp/consumer/Consumer.jsp10?divisionName=Consumer+Information&pageName=/jsp/consumer/Consumer.jsp10
  • External Review Contact Information
    Louis Butler
    Maryland Insurance Administration
    Phone: 410-468-2271
    Email: lbutler@mdinsurance.state.md.us
    Website: http://www.mdinsurance.state.md.us/jsp/consumer/Appeals.jsp10

  Maryland Medicaid State Agency Contact Information

  • Department of Health and Mental Hygiene
    201 West Preston Street
    Baltimore, Maryland 21201
    1-410-767-5800

• Massachusetts

  • Massachusetts Division of Insurance
    One South Station, 5th Floor
    Boston, MA 02110-2208
    Phone: 617-521-7794
    Website: http://www.mass.gov/?pageID=ocaagencylanding&L=4&L0=Home&L1=Government&L2=Our+Agencies+and+Divisions&L3=Division+of+Insurance&sid=Eoca
    Consumer information website: http://www.mass.gov/?pageID=ocaconstituent&L=2&L0=Home&L1=Consumer&sid=Eoca
  • External Review Contact Information
    Carol Balulescu
    Department of Public Health
    Office of Patient Protection
    617-624-5216
    Email: carol.balulescu@state.ma.us

  Massachusetts Medicaid State Agency Contact Information

  • Office of Medicaid
    One Ashburton Place
    11th Floor
    Boston, MA 02108
    1-617-573-1600
  • External Review Contact Information
    Board of Hearings
    1-617-210-5800

• Michigan

  • Michigan Office of Financial and Insurance Services
    Mailing Address:
    PO Box 30220
    Lansing, MI 48909-7720
    Street Address:
    Ottawa Building, 3rd Floor
    611 W. Ottawa
    Lansing, MI 48933-1070
    Phone: 517-373-0220 or 877-999-6442
    Website: http://www.michigan.gov/cis/0,1607,7-154-10555---,00.html
    Consumer information website: http://www.michigan.gov/cis/0,1607,7-154-10555_12902---,00.html
  • External Review Contact Information
    Cindy Mielock
    Benefit Inquiry Section
    Office of Financial and Insurance Services
    Phone: 517-373-2881
    Email: cmielo@michigan.gov

  Michigan Medicaid State Agency Contact Information

  • Michigan Department of Community Health
    Capitol View Building
    201 Townsend Street
    Lansing, Michigan 48913
    1-517-373-3740

• Minnesota

  • Minnesota Department of Commerce
    85 7th Place East, Suite 500
    St. Paul, MN 55101
    Phone: 651-296-4026
    Website:
    http://www.state.mn.us/portal/mn/jsp/home.do?agency=Commerce
    Consumer information website: http://www.state.mn.us/portal/mn/jsp/content.do?id=-536881350&agency=Commerce
  • Ombudsmen Contact Information
    Minnesota Department of Commerce
    Consumer Response Team
    Phone: 800-657-3602 (MN only) or 651-296-2488
    Website: http://www.state.mn.us/portal/mn/jsp/content.do?id=-536881350&subchannel=null&sc2=null&sc3=null&contentid=536905284&contenttype=EDITORIAL&programid=536884659&agency=Commerce
  • External Review Contact Information
    Michael S. McLain (non-HMO)
    Minn. Dept of Insurance, Market Assurance Division
    Phone: 651-282-5863
    Email: Mike.Mclain@state.mn.us
    
    Michael McGinnis (HMO)
    Minn. Dept of Insurance, Market Assurance Division
    Email: Michael.Mcginnis@state.mn.us
    
    Irene Goldman
    Minnesota Department of Health (HMOs)
    Phone: 651-201-5166
    Email: Irene.Goldman@state.mn.us
    Website for insured plans: http://www.state.mn.us/mn/externalDocs/Commerce/Health_InsuranceAppeal_for_External_Review_021105025730_ExternalReviewAppeal.pdf
    Website for self-insured plans: http://www.state.mn.us/portal/mn/jsp/content.do?id=-536881350&subchannel=-536881550&sc2=null&sc3=null&contentid=536905287&contenttype=EDITORIAL&programid=536886472&agency=Commerce

  Minnesota Medicaid State Agency Contact Information

  • Minnesota Department of Health Services
    444 Lafayette Road
    St. Paul, MN 55155
    1-651-431-2000

• Mississippi

  • Mississippi Department of Insurance
    1001 Woolfolk State Office Building
    501 North West St
    Jackson, MS 39201
    Phone: 601 359 3569
    Website: http://www.doi.state.ms.us/
    Consumer information website: http://www.doi.state.ms.us/consumer/consumerinfo.htm
  • Ombudsmen Contact Information
    Mississippi Department of Insurance
    Consumer Services Division
    Website: http://www.doi.state.ms.us/htm_files/consumerserdiv.htm

  Mississippi Medicaid State Agency Contact Information

  • Mississippi Division of Medicaid
    Sillers Building
    550 High Street Suite 1000
    Jackson, MS 39201-1399
    1-601-359-6050

• Missouri

  • Missouri Department of Insurance
    Financial Institutions & Professional Registration
    301 West High Street, Room 530
    Jefferson City, MO 65101
    Phone: 573-751-4363
    Email: lh@insurance.mo.gov
    Website: http://www.insurance.mo.gov/
    Consumer information website: http://www.insurance.mo.gov/consumer/index.htm
  • External Review Contact Information
    Mary Kempker
    Director of Consumer Services
    Missouri Department of Insurance
    573-751-2640
    Email: mary.kempker@insurance.mo.gov

  Missouri Medicaid State Agency Contact Information

  • The State of Missouri
    MO HealthNet Division
    615 Howerton Court
    P.O. Box 6500
    Jefferson City, MO 65102-6500
    1-573-751-3425
  • External Review Contact Information
    State Ombudsman Program
    1-800-309-3282

• Montana

  • Montana State Auditor’s Office
    840 Helena Avenue
    Helena, MT 59601
    Phone: 406-444-2040
    Website: http://sao.mt.gov/
    Consumer information website: http://sao.mt.gov/consumers/index.asp
  • External Review Contact Information
    Pamela Sourbeer
    Department of Public Health and Human Services
    Phone: 406-444-9519
    Email: psourbeer@mt.gov

  Montana Medicaid State Agency Contact Information

  • Department of Health and Human Services
    1400 Broadway
    Helena, MT 59601
    1-406-444-4540

• Nebraska

  • Nebraska Department of Insurance
    Terminal Building
    941 O Street, Suite 400
    Lincoln, NE 68508-3639
    Phone: 402-471-2201 or 402-471-0888
    Website: http://www.doi.ne.gov//
    Consumer information website: http://www.doi.ne.gov/consumer.htm

  Nebraska Medicaid State Agency Contact Information

  • Nebraska Department of Health & Human Services
    P.O. Box 95026
    Lincoln, Nebraska 68509-5026
    1-402-471-3121

• Nevada

  • Nevada Division of Insurance
    788 Fairview Drive, Suite 300
    Carson City, Nevada 89701
    Phone: 888-872-3234
    Website: http://doi.state.nv.us/
    Consumer information website: http://doi.state.nv.us/CS-WhatCanWeDo.htm
  • Ombudsmen Contact Information
    Governor’s Office of Consumer Health Assistance
    555 E. Washington Ave.
    Suite 4800
    Las Vegas, NV 89101
    Phone: 702-486-3587
    Website: http://govcha.state.nv.us/
  • External Review Contact Information
    Terri Rogers
    Governor’s Office of Consumer Health Assistance
    Phone: 702-486-3852
    Email: trogers@govcha.state.nv.us

  Nevada Medicaid State Agency Contact Information

  • Division of Healthcare Financing and Policy
    1100 East William Street, Suite 101
    Carson City, NV 89701
    1-775-684-3676

• New Hampshire

  • New Hampshire Insurance Department
    21 South Fruit St.
    Suite 14
    Concord, NH 03301
    Phone: 603-271-2261
    Email: Requests@ins.nh.gov
    Website: http://www.nh.gov/insurance/
    Consumer information website: http://www.nh.gov/insurance/consumer_services/cons_home.htm
  • External Review Contact Information
    Barbara Anderson
    Consumer Affairs
    New Hampshire Department of Insurance
    Phone: 603-271-2261
    Email: barbara.anderson@ins.nh.gov

  New Hampshire Medicaid State Agency Contact Information

  • NH DHHS Office of Medicaid Business & Policy
    Medicaid Program
    129 Pleasant Street
    Concord, NH 03301-3857
    1-603-271-5254

• New Jersey

  • New Jersey Department of Banking and Insurance
    20 West State Street
    P.O. Box 325
    Trenton, NJ 08625
    Phone: 609-292-5360
    Website: http://www.state.nj.us/dobi/index.html
    Consumer information website: http://www.state.nj.us/dobi/division_consumers/index.htm
  • Ombudsmen Contact Information
    The Office of the Insurance Ombudsman
    NJ Department of Banking and Insurance
    20 West State Street
    PO Box 472
    Trenton NJ 08625-0472
    Phone: 1-800-446-7467
    E-mail: ombudsman@dobi.state.nj.us
    Website: http://www.state.nj.us/dobi/ombuds.htm
  • External Review Contact Information
    Robert Williams
    Supervising Administrative Analyst
    Department of Insurance, Office of Managed Care
    Phone: 609-292-5360 x 50484
    Email: rwilliams@dobi.state.nj.us

  New Jersey Medicaid State Agency Contact Information

  • NJ Department of Human Services
    222 South Warren Street
    P.O. Box 700
    Trenton, NJ 08625-0700
    1-800-356-1561

• New Mexico

  • New Mexico Public Regulation Commission Insurance Division
    P.E.R.A. Bldg., 4th Floor
    1120 Paseo de Peralta
    Santa Fe, New Mexico 87501
    Phone: 800-947-4722 or 505-827-4601
    Website: http://www.nmprc.state.nm.us/id.htm
    Consumer information website:
    http://www.nmprc.state.nm.us/consumer.htm
  • Ombudsmen Contact Information
    New Mexico Managed Care Bureau
    Insurance Division
    Phone: 877-673-1732 or 505-827-3928
    Website: http://www.nmprc.state.nm.us/consumer.htm
  • External Review Contact Information
    Kimberley Scott
    State Department of Insurance
    Public Regulation Commission
    Phone: 505-827-4468
    Email: kimberley.scott@state.nm.us

  New Mexico Medicaid State Agency Contact Information

  • NM Human Services Department
    Medical Assistance Division
    P.O. Box 2348
    Santa Fe, NM 87504-2348
    1-888-997-2583

• New York

  • New York Insurance Department
    One Commerce Plaza
    Albany, NY 12257
    Phone: 518-474-6272
    Email: health@ins.state.ny.us
    Website: http://www.ins.state.ny.us/hpoffnos_loc.htm#albany
  • Ombudsmen Contact Information
    New York City Managed Care Consumer Assistance Program
    Community Service Society of New York
    105 East 22nd Street
    New York, N.Y. 10010
    Phone: 212-614-5400
    Email: mccap@cssny.org
    Website: http://www.nycmccap.org/contact.html
  • External Review Contact Information
    Lisette Johnson or Colleen Rumsey
    New York Department of Insurance
    Phone: 518-474-4098 or 518-486-7815
    Emails: ljohnson@ins.state.ny.us and
    crumsey@ins.state.ny.us

  New York Medicaid State Agency Contact Information

  • New York State Department of Health
    Corning Tower
    Empire State Plaza,
    Albany, NY 12237
    1-518-486-9057

• North Carolina

  • North Carolina Department of Insurance
    Services for Consumers
    Commissioner: Jim Long
    1201 Mail Service Center
    Raleigh, NC 27699-1201
    Phone: 800-546-5664 (NC only) or 919-807-6750
    Website: http://www.ncdoi.com/
  • External Review Contact Information
    Susan Nestor
    Director Healthcare Review Program
    North Carolina Department of Insurance
    Phone: 919-715-1163
    Email: snestor@ncdoi.net

  North Carolina Medicaid State Agency Contact Information

  • NC Division of Medical Assistance
    2501 Mail Service Center
    Raleigh, NC 27699-2501
    1-800-662-7030

• North Dakota

  • North Dakota Insurance Department
    State Capitol, Fifth Floor
    600 East Boulevard Avenue
    Bismarck, ND 58505-0320
    Phone: 800-247-0560 or 701-328-2440
    Website: http://www.nd.gov/ndins/default.asp
    Consumer information website: http://www.nd.gov/ndins/consumer/
  • External Review Contact Information
    Craig Burns
    Legal Counsel
    North Dakota Department of Insurance
    Phone: 701-328-2440
    Email: cburns@nd.gov

  North Dakota Medicaid State Agency Contact Information

  • Medical Services Division
    North Dakota Department of Human Services
    600 East Boulevard Avenue, Dept 325
    Bismarck N.D. 58505-0250
    1-701-328-2321

• Ohio

  • Ohio Department of Insurance
    2100 Stella Court
    Columbus, OH 4325
    Phone: 614-644-2658
    Website: http://www.ohioinsurance.gov/
    Consumer information website: http://www.ohioinsurance.gov/ConsumServ/ConServIndex.asp?Menu=1
  • External Review Contact Information
    Mary Richardson
    Ohio Department of Insurance
    Phone: 614-728-1756
    Email: mary.richardson@ins.state.oh.us

• Oklahoma

  • Oklahoma Insurance Department
    2401 N.W. 23rd Street, Suite 28
    Oklahoma City, OK 73107
    Phone: 800-522-0071 or 405-521-2828
    Website: http://www.oid.state.ok.us/
    Consumer information website: http://www.oid.state.ok.us/www2.oid.state.ok.us/Divisions/ConsumerAssistance.asp
  • External Review Contact Information
    Russell Valleroy
    Director of Consumer Assistance
    Oklahoma Department of Insurance
    Phone: 405-521-2828
    Email: russellvalleroy@insurance.state.ok.us

  Oklahoma Medicaid State Agency Contact Information

  • Oklahoma Health Care Authority
    4545 N. Lincoln Blvd, Ste. 124
    Oklahoma City, OK 73105
    1-800-522-0310

• Oregon

  • Oregon Insurance Division
    P.O. Box 14480
    Salem, OR 97309-0405
    Phone: 888-877-4894
    Website: http://www.cbs.state.or.us/ins/index.html
    Consumer information website: http://www.cbs.state.or.us/ins/consumer/consumer.html
  • External Review Contact Information
    Carol Simila
    Consumer Advocate Liaison
    Oregon Insurance Division
    Phone: 503-947-7269
    Email: carol.r.simila@state.or.us

  Oregon Medicaid State Agency Contact Information

  • Division of Medical Assistance Programs
    Administrative Office
    500 Summer Street NE
    Salem, OR 97301-1079
    1-503-945-5772

• Pennsylvania

  • Pennsylvania Insurance Department
    1326 Strawberry Square
    Harrisburg, PA 17120
    Phone: 717-783-0442
    Website: http://www.ins.state.pa.us/ins/site/default.asp
    Consumer information website: http://www.ins.state.pa.us/ins/cwp/view.asp?a=1339&Q=544190&PM=1&insNav=|
  • Ombudsmen Contact Information
    Pennsylvania Insurance Department
    Office of Consumer Liaison
    Phone: 717-783-2011
    Email: ra-in-consumerliaison@state.pa.us
    Website: http://www.ins.state.pa.us/ins/cwp/view.asp?a=1344&q=545534
  • External Review Contact Information
    Tracey Torres
    Public Health Program Administrator
    Department of Health/Bureau of Managed Care
    Phone: 717-787-5193
    Email: ttorres@state.pa.us
    Website: http://www.ins.state.pa.us/ins/cwp/browse.asp?c=45317&a=1339&BMDRN=2000&BCOB=0

  Pennsylvania Medicaid State Agency Contact Information

  • Office of Medical Assistance Programs
    P. O. Box 2675
    Harrisburg, PA 17105-2675
    1-717-787-1870

• Rhode Island

  • Rhode Island Department of Business Regulation
    Office of Health Insurance Commissioner
    233 Richmond Street
    Providence, RI 02903
    Phone: 401-222-5424
    Email: albert_smith@dbr.state.ri.us
  • Ombudsmen Contact Information
    Rhode Island Department of Attorney General
    Office of Health Care Advocate
    150 South Main Street
    Providence, RI 02903
    Phone: 401-274-4400
    Website: http://www.riag.ri.gov/civil/unit.php?name=healthcare
  • External Review Contact Information
    Fernanda Da Costa
    Rhode Island Department of Health
    Email: fernl@doh.state.ri.us

  Rhode Island Medicaid State Agency Contact Information

  • Rhode Island Department of Human Services
    600 New London Avenue
    Cranston, RI 02920-3024
    1-401-462-5300

• South Carolina

  • South Carolina Department of Insurance
    Capitol Center
    1201 Main St., Suite 1000
    Columbia, SC 29201
    Phone: 803-737-6160
    Email: info@doi.sc.gov
    Website: https://www.doi.sc.gov/
    Consumer information website: https://www.doi.sc.gov/Eng/Public/Consumer/Consumer.aspx
  • Governor's Office of Ombudsman
    1200 Senate Street, Room 104
    Columbia, South Carolina 29201
    Phone: 803-734-5049
    Email: mark@gov.sc.gov
    Website: http://www.oepp.sc.gov/ombudsman/
  • External Review Contact Information
    Ann Bishop
    South Carolina Department of Insurance
    Phone: 803-737-6165
    Email: abishop@doi.sc.gov

  South Carolina Medicaid State Agency Contact Information

  • Department of Health and Human Services
    P. O. Box 8206
    Columbia, SC 29202-8206
    1-888-549-0820

• South Dakota

  • South Dakota Division of Insurance
    445 East Capitol Avenue
    Pierre, SD 57501
    Phone: 605-773-3563
    Website: http://www.state.sd.us/drr2/reg/insurance/index.html
    Consumer information website: http://www.state.sd.us/drr2/reg/insurance/consumer/index.html

  South Dakota Medicaid State Agency Contact Information

  • South Dakota Department of Social Services
    700 Governors Drive
    Pierre, SD 57501
    1-605-773-3495

• Tennessee

  • Tennessee Department of Commerce and Insurance
    500 James Robertson Parkway
    Davy Crockett Tower
    Nashville, Tennessee 37243-0565
    Phone: 615-741-2241
    Website: http://www.state.tn.us/commerce/
    Consumer information website:
    http://state.tn.us/consumer/
  • External Review Contact Information
    Vickie Trice
    Director, Consumer Insurance Services
    Tennessee Department of Insurance
    Phone: 615-741-2218
    Email: Vickie.Trice@state.tn.us

  Tennessee Medicaid State Agency Contact Information

  • Bureau of TennCare
    310 Great Circle Road
    Nashville, TN 37243
    1-866-311-4287
  • External Review Contact Information
    TennCare Solutions
    1-800-878-3192

• Texas

  • Texas Department of Insurance
    333 Guadalupe
    Austin, TX 78701
    Phone: 800-578-4677 (in Texas) or 512-463-6169
    Website: http://www.tdi.state.tx.us/
    Consumer information website: http://www.tdi.state.tx.us/consumer/index.html
  • External Review Contact Information
    Olga Elsobedo
    Texas Department of Insurance
    Director, HMO Comliance/URA/IRO Section
    Phone: 512-322-4357
    Email: olga.escobedo@tdi.state.tx.us;
    
    Rita Martinez
    Texas Department of Insurance
    Email: Rita.Martinez@tdi.state.tx.us;
    
    Dina Bonugli
    Texas Department of Insurance
    Phone: 512-322-4256
    Email: Dina.Bonugli@tdi.state.tx.us

  Texas Medicaid State Agency Contact Information

  • Texas Health and Human Services Commission
    Brown-Heatly Building
    4900 N. Lamar Blvd.
    Austin, TX 78751-2316
    1-800-252-8263
  • External Review Contact Information
    Texas Health and Human Services Commission
    Office of the Ombudsman
    MC H-700
    P.O. Box 85200
    Austin, TX 78708-5200
    1-877-787-8999

• Utah

  • Insurance Department
    Suite 3110 State Office Building
    PO Box 146901
    Salt Lake City, UT 84114-6901
    Phone: 801-538-3800
    Website: http://www.insurance.utah.gov/
    UID Consumer website: http://www.insurance.utah.gov/consumers.html
    Office of Consumer HEALTH Assistance website:
    http://www.insurance.utah.gov/consumer_Health.html
  • External Review Contact Information
    Brian Hansen
    Phone: 801-538-3763
    Email: bhansen@utah.gov

  Utah Medicaid State Agency Contact Information

  • Utah Department of Health
    Community & Family Health Clinic Building
    44 North Medical Drive
    Salt Lake City, UT 84114
    1-800-662-9651

• Vermont

  • Vermont Department of Banking, Insurance
    Securities and Health Care Administration
    89 Main St.
    Drawer 20
    Montpelier, VT 05620-3101
    Phone: 802-828-3301
    Website: http://www.bishca.state.vt.us/InsurDiv/insur_index.htm
  • Ombudsmen Contact Information
    Office of Health Care Ombudsman
    P.O. Box 1367
    Burlington, VT 05402
    Phone: 800-917-7787
    Website: http://www.vtlegalaid.org/hco.html
  • External Review Contact Information
    Paula DiStabile
    Director External Appeals
    Health Care Administration
    Phone: 802-828-2900
    Email: pdistabile@bishca.state.vt.us

  Vermont Medicaid State Agency Contact Information

  • Office of Vermont Health Access
    312 Hurricane Lane, Suite 201
    Williston, Vermont 05495
    1-802 879-5900

• Virginia

  • Virginia Bureau of Insurance
    Mailing address:
    PO Box 1157
    Richmond, Virginia 23218
    Street Address:
    Tyler Building
    1300 E. Main St.
    Richmond, VA 23218
    Phone: 804-371-9741
    Website: http://www.scc.virginia.gov/division/boi/index.htm
    Consumer information website: http://www.scc.virginia.gov/division/boi/webpages/boiconsumer.htm
  • Ombudsmen Contact Information
    Virginia Bureau of Insurance
    Office of the Managed Care Ombudsman
    Phone: 877-310-6560 or 804-371-9032
    Website: http://www.scc.virginia.gov/division/boi/webpages/boiombudman.asp
  • External Review Contact Information
    Kim Naoroz
    External Appeals Manager
    Virginia Bureau of Insurance
    Phone: 804-371-9915
    Email: Kim.Naoroz@scc.virginia.gov
    Website: http://www.scc.virginia.gov/division/boi/webpages/boiexternalappeals.htm

  Virginia Medicaid State Agency Contact Information

  • Department Of Medical Assistance Services
    600 East Broad Street
    Richmond, Virginia 23219
    1-804-786-7933
  • External Review Contact Information
    Appeals
    1-804-371-8488

• Washington

  • Office of the Insurance Commissioner
    P.O. Box 40255
    Olympia, WA 98504-0255
    Phone: 800-562-6900
    Websites: http://www.insurance.wa.gov/
    Consumer information website:
    http://www.insurance.wa.gov/consumers/health/healthinsurance.asp
  • External Review Contact Information
    Suzanne Ritchie
    Office of the Insurance Commissioner
    Phone: 360-725-7114
    Email: suzanner@oic.wa.gov

  Washington Medicaid State Agency Contact Information

  • Customer Service Center
    P.O. Box 45505
    Olympia, WA 98504-5505
    1-800-562-3022

• Washington, D.C.

  • DC Department of Insurance and Securities Regulation
    810 First St, NE
    Suite 701
    Washington, DC 20002
    Phone: 202-727-8000
    Website: http://disb.dc.gov/disr/site/default.asp
    Consumer information website: http://disb.dc.gov/disr/cwp/view,a,1299,Q,634581,disrNav,|32810|,.asp
  • External Review Contact Information
    Patrick E. Kelly
    Grievance and Appeals Coordinator
    DC Department of Health
    Phone: 202-442-5979
    Email: patrick2.kelly@dc.gov

  Washington, D.C. Medicaid State Agency Contact Information

  • Medical Assistance Administration
    825 North Capitol Street, NE
    5th Floor
    Washington, DC 20002
    1-202-442-5988
  • External Review Contact Information
    Office of Adjudication and Hearings
    (202) 442-9091

• West Virginia

  • West Virginia Insurance Commission
    1124 Smith St.
    PO Box 50540
    Charleston, WV 25305-0540
    Phone: 888-879-9842 or 304-558-3386
    Website: http://www.wvinsurance.gov/
    Consumer information website: http://www.wvinsurance.gov/consumer/consumer_services.htm
  • External Review Contact Information
    Kathy Beck or Larry Abshire
    West Virginia Insurance Commission
    Phone: 304-558-3386
    Email: consumer.service@wvinsurance.gov

  West Virginia Medicaid State Agency Contact Information

  • Bureau for Medical Services
    350 Capitol Street Room 251
    Charleston, WV 25301-3709
    1-304- 558-2400

• Wisconsin

  • Wisconsin Commissioner of Insurance
    125 South Webster Street
    Madison, Wisconsin 53703-3474
    Phone: 800-236-8517 or 608-266-3585 Website: http://oci.wi.gov/
    Consumer information website: http://oci.wi.gov/consinfo.htm
  • External Review Contact Information
    Barbara Belling
    Managed Care Specialist
    Wisconsin Commissioner of Insurance
    Phone: 608-264-6224
    Email: Barbara.belling@oci.state.wi.us

  Wisconsin Medicaid State Agency Contact Information

  • Department of Health and Family Services
    1 W. Wilson Street
    Madison, WI 53703
    1-608-266-1865
  • External Review Contact Information
    Ombudsman
    1-800-760-0001

• Wyoming

  • Wyoming Insurance Department
    106 East 6th Avenue
    Cheyenne, WY 82002
    Phone: 800-438-5768
    Website: http://insurance.state.wy.us/
    Consumer information website: http://insurance.state.wy.us/consumer.html

  Wyoming Medicaid State Agency Contact Information

  • Wyoming Department of Health
    401 Hathaway Building
    Cheyenne, WY 82002
    1-307-777-7656