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IN VIRGINIA

Virginia Department of Health Office of Licensure and Certification

The office of Licensure and Certification of the Virginia Department of Health ( http://www.vdh.state.va.us/OLC/contacts.htm) has the responsibility to investigate any complaints regarding alleged violations of regulation or applicable law regarding the following facilities and services:

  • Inpatient and Outpatient Hospitals
  • Nursing Facilities
  • Home Care and Home Health Organizations
  • Hospice Programs
  • The quality of care provided by managed care health insurance plans

    Complaints can be made in writing at
    Virginia Department of Health
    The Office of Licensure and Certification
    9960 Mayland Dr., Suite 401
    Richmond, VA 23233-1463
    Toll Free: 1-800-955-1819
    Local: 1-804-367-2106
    via email at OLC-Complaints@vdh.virginia.gov

    The Acute Care division is responsible for the licensing of hospitals, home care and hospice programs. The division monitors managed care health insurance plans and private review agents and, under CLIA, conducts the certification inspections for clinical laboratories. This division is also responsible for the Medicare certification of hospitals, home health agencies and hospice programs as well as a variety of medical services and facilities.

    Virginia Health Quality Center (VHQC) Investigates Medicare quality of care facility complaints concerning Medicare patients.
    On the Web: vhqc.org
      Virginia Health Quality Center
      9830 Mayland Drive, Suite J
      Richmond, VA 23233
      Toll Free: 1-800-545-3814
      Fax: 804-289-5324
      Main Office: 804-289-5320


    MEDICARE INFORMATION: 1-800-MEDICARE (1-800-633-4227)
    BENEFICIARY HELPLINE: 1-800-MEDICARE (1-800-633-4227)
    PROVIDER HELPLINE: 1-800-854-5244 OR 1-804-289-5303

    Virginia Hospital and Healthcare Association represents Virginia hospitals and publishes information on health care providers in Virginia.
    On the Web: vhha.com
      Virginia Hospital and Healthcare Association
      4200 Innslake Drive
      Glen Allen, VA 23060
      Phone: 804-965-1210
      Mailing Address:
      P.O. Box 31394
      Richmond, VA 23294-1394

    NATIONALLY

    American Board of Medical Specialties® Certified Doctor Locator and Verification Services allows the public to verify the board certification status of any physician who is certified by one or more of the 24 member boards of the ABMS and who has subscribed to be listed. This service also allows the public to locate a board certified physician in his or her area (by zip code.)
    On the web: https://www.abms.org
      Or questions may be directed to:
      American Board of Medical Specialties
      1007 Church Street, Suite 404
      Evanston, IL 60201-5913
      PH: 847-491-9091
      Toll Free: 1-866-ASK-ABMS (1-866-275-2267)
    American Hospital Association (AHA) The national organization that represents and serves all types of hospitals, health care networks, their patients and communities. Developed Patient's Bill of Rights for use by hospital members.
    On the web: www.aha.org
      American Hospital Association
      Chicago Headquarters
      One North Franklin
      Chicago, Illinois 60606
      PH: 312-422-3000
      Toll Free: 1-800-424-4301
      American Hospital Association
      Washington DC Office
      325 7th St. NW
      Washington, DC 20004-2802
      PH: 202-638-1100
    Association of American Medical Colleges (AAMC) A nonprofit association comprised of 125 accredited U.S. medical schools and over 400 teaching hospitals.
    On the web: www.aamc.org
      Association of American Medical Colleges
      2450 N Street, NW
      Washington, DC 20037-1126
      Phone: 1-202-828-0400
    Center for Medicare and Medicaid (CMS) The federal agency that administers the Medicare, Medicaid, and Child Health Insurance programs. Also performs a number of quality-of-care-related activities, including certification and quality improvement. Provides information under the Freedom of Information Act. On the web: http://www.cms.hhs.gov/aboutwebsite/04_foia.asp

      Center for Medicare and Medicaid
      Office of Information Services
      Division of Freedom of Information and Privacy
      Room N2-20-16
      7500 Security Boulevard
      Baltimore, MD 21244-1850
      Phone: 1-410-786-5353 or 410-786-0474

    For further information, contact the Administrator at

    Center for Medicare and Medicaid
    Department of Health and Human Services
    200 Independence Avenue SW.
    Washington, DC 20201
    PH: 410-786-3000

    Joint Commission on Accreditation of Healthcare Organizations accredits hospitals/healthcare organizations for administrative, medical, facility and quality of care issues. Has an active complaint department to assist consumers/patients with concerns. On the web: www.jointcommission.org
      The Joint Commission
      One Renaissance Boulevard
      Oakbrook Terrace, Illinois 60181
      Phone: 1-800-994-6610
    on the web: www.jointcommission.org/GeneralPublic/Complaint
    email: complaint@jointcommission.org
    Office of Quality Monitoring/Complaint Operations Unit:
    fax: 1-630-792-5642