ACA section 1557 compliance notice

Contact us at (716) 247-5282

Notice

Discrimination is Against the Law – Notice of Non-Discrimination CINQCARE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

CINQCARE does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. CINQCARE:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need these services, contact our Customer Service Department at (716) 247-5282.

If you believe that CINQCARE has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Lawrence Myers, Compliance Officer, 1-855-877-2940 or 1-716-380-2601.

Email: Lawrence.Myers@cinqcarehealthhome.com. You can file a grievance by mail, fax, or email. If you need help filing a grievance, Lawrence Myers is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https:/ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html

Attention

If you speak another language, language assistance services, free of charge, are available to you. | Call 1-716-250-2000.