Nondiscrimination Notice
Community Health Plan of Imperial Valley follows State and Federal civil rights laws and does not discriminate, exclude people or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation.
Community Health Plan of Imperial Valley provides:
- Free aids and services to people with disabilities to communicate better with us, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats).
- Free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.
If you need these services or to request this document in an alternative format, contact the Community Health Plan of Imperial Valley (CHPIV) at 1-833-236-4141 (TTY: 711), 24 hours a day, 7 days a week.
If you believe that Community Health Plan of Imperial Valley has failed to provide these services or unlawfully discriminated in another way, you can file a grievance with Community Health Plan of Imperial Valley by phone, in writing, in person or electronically:
- By phone: Contact us 24 hours a day, 7days a week by calling 1-833-236-4141. Or, if you cannot hear or speak well, please call (TTY/TDD 711) to use the California Relay Service.
- In writing: Fill out a complaint form or write a letter and send it to:
Attn: Community Health Plan of Imperial Valley Member Appeals and Grievances Department - P.O. Box 10287
- Van Nuys CA 91410-0287.
- In person: Visit your doctor’s office or Community Health Plan’s office and say you want to file a grievance.
- By fax: Community Health Plan of Imperial Valley Member Appeals and Grievances Dept. 1-833-405-0312.
- Electronically: Visit Community Health Plan of Imperial Valley’s website at http://chpiv.org/.
You can also file a civil rights complaint with the California Department of Health Care Services,
Office of Civil Rights by phone, in writing or electronically:
- By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711.
- In writing: Fill out a complaint form or write a letter and send it to Deputy Director, Office of Civil Rights, Department of Health Care Services, Office of Civil Rights, P.O. Box 997413, MS 0009, Sacramento, CA 95899-7413.
Complaint forms are available at http://www.dhcs.ca.gov/Pages/Language Access.aspx. - Electronically: Send an email to CivilRights@dhcs.ca.gov.
If you believe you have been discriminated against because of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing or electronically:
- By phone: 1-800-368-1019 (TDD: 1-800-537-7697).
- In writing: Fill out a complaint form or send a letter to U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201.
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. - Electronically: Visit the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.