Report a Compliance Concern

The BHCOE will only accept complaints that are complete and contain the following information:

    • Date of complaint;
    • Submission date is within one year from the date of the alleged violation(s); and
    • Supporting documentation is submitted and does not exceed 30 pages.

The BHCOE may accept, request modifications to, or deny a complaint. Complaints may be denied if (i) the provider is not accredited by the BHCOE, (ii) the complaint does not relate to a breach of the BHCOE Standards for Behavioral Organizations, and/or (iii) if the complaint lacks supporting documentation and/or is not substantiated. The BHCOE may bring compliance concerns directly to the provider’s attention or the BHCOE may proceed to process a complaint through our Disciplinary System. If the complaint proceeds through our Disciplinary System, then the complaint will be evaluated by the Disciplinary Review Board.

Typically, the complaint and supporting documentation will be forwarded to the provider that the complaint has been filed against, so the provider may respond to the alleged violations. The provider’s response will not be released to the complainant. Select complaints may not be forwarded to the provider. This is determined on a case-by-case basis by the BHCOE compliance department. The Final Determination rendered by the Review Committee(s) will be sent to both the Complainant and the provider.

The BHCOE may accept anonymous complaints; however, the complainant’s name and contact information must be provided to the BHCOE. If an anonymous complaint is accepted, then the complainant’s identity and/or the actual complaint/supporting documentation may not be forwarded to the provider. The BHCOE will work closely with the complainant regarding maintaining confidentiality on a case-by-case. Please note, anonymous complaints may hold less weight than complaints whereby the provider receives the identity of the complainant and/or the complaint/supporting documentation.

The Disciplinary Review process may result in the provider implementing and/or modifying policies and procedures. Other compliance actions may be mandated to ensure compliance is met by the provider. Accreditation may be suspended and/or revoked if deemed necessary. “Revoked” means that eligibility status or prior grants of accreditation have been denied or repealed. After three years, organizations with revocations may reapply for accreditation by demonstrating evidence of rehabilitation of organizational structure or correction of the problems leading to revocation. Reinstatement of revocation is the discretion of the then-existing Review Committee and Appeal Committee (if appealed).

The provider is the only party that may appeal the Disciplinary Review Committee’s determination.

To check the status of your complaint, please email compliance@bhcoe.org.

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