Behavioral Health Ombuds

The North Sound Regional Behavioral Health Ombuds provide advocacy for anyone applying for or receiving publicly-funded behavioral health services in Island, San Juan, Skagit, Snohomish and Whatcom counties. Call the regional Ombuds if you feel that your rights have been violated or that you are not receiving adequate services. Ombuds’ goal is to assist you in obtaining a resolution that meets your needs. Services are confidential and free. The law protects you from any kind of retaliation.

Ombuds can:

  • Listen to concerns
  • Research the situation
  • Assist information and referrals
  • Provide advocacy and support
  • Provide education about the behavioral health system and individual rights
  • Assist in resolving concerns at the lowest possible level
  • Help individuals through the grievance and appeal process

If an individual is dissatisfied with their services, they may file a grievance. If an individual is denied access to behavioral health services, they may appeal the denial. North Sound Behavioral Health Ombuds can assist with these processes.

Grievances

If you are having issues with the behavioral health services you are receiving through North Sound BH-ASO or the behavioral health provider agencies, you have the right to file a grievance. A “grievance” is an expression of dissatisfaction about any matter other than an action. The subjects for crievances may include but are not limited to:

  • the quality of care or services provided
  • aspects of interpersonal relationships such as rudeness of a provider or employee
  • failure to respect your individual rights

You may file a grievance directly with North Sound BH-ASO or Managed Care Organization (MHO), as appropriate. You may also contact the North Sound BH-ASO Ombuds for assistance.

Appeals

An “appeal” is a request for the review of an action, when service is denied, reduced, or terminated by North Sound BH-ASO or MCO, based on a medical necessity. You have the right to file an appeal. The appeal is a review of the action for which there are two outcomes:

  • uphold the denial, or
  • overturn the denial

Know Your Rights

Each individual that accesses behavioral health services through North Sound Behavioral Health Administrative Services Organization has the following rights:

Individual Rights:
http://apps.leg.wa.gov/WAC/default.aspx?cite=388-877-0600

Individual Rights specific to Medicaid recipients:
http://apps.leg.wa.gov/WAC/default.aspx?cite=388-877-0680

You may file the appeal directly with North Sound BH-ASO or MCO. Or you may contact the North Sound BH-ASO Regional Ombuds for assistance.

Contact Us

  • Local Phone: 1-360-416-7004
    Toll-Free: 1-888-336-6164

  • Fax: 1-360-416-7550

  • Mailing Address: 330 Pacific Place, Mount Vernon, WA 98273