Authority and scope
Check the facility type and concern
HLS covers licensed hospitals, surgical centers, nursing facilities, assisted living, adult foster/boarding homes, home health, hospice, psychiatric hospitals and community mental-health centers. Behavioral Health Division certification separately covers specified state-funded or court-referred substance-use services and contracted behavioral-health centers, including residential/outpatient services. Certification does not cover every private mental-health practice.
Supporting guidance: Healthcare Licensing and Surveys ↗Provider certification ↗MHSA Certification Handbook, March 2026 ↗
Match the route to the facility type
HLS healthcare and residential facilities
Hospitals, surgery, nursing homes, assisted/adult residential care, home health/hospice, psychiatric hospitals and licensed community mental-health centers.
Open this official route ↗Behavioral Health Division certified programs
Separate specified substance-use and contracted behavioral-health programs; written complaint, prior provider complaint and one-year limit apply.
Open this official route ↗How the official source says to file
- For HLS, call 307-777-7123 and ask for a health surveyor; fax 307-777-7127; or mail the facility complaint form to HLS, Attn: Health Care Facility Complaint, Hathaway Building, Suite 510, 2300 Capitol Avenue, Cheyenne, WY 82002. Do not email that form.
- Identify the facility/location, affected people, your relationship, dates, times, staff and witnesses with contact details. Explain what happened and earlier facility discussions. The form asks for enough facts to locate records and contact witnesses; retain supporting copies.
- For a Behavioral Health Division certified program, the March 2026 handbook requires a formal written complaint naming the complainant, address/phone, subject and complete alleged violation/facts. It also requires first submitting the concern to the provider and finding the resolution unacceptable; keep that documentation. Contact the certification program at 800-535-4006, option 2, to confirm delivery instructions.
Supporting guidance: HLS complaints ↗HLS facility complaint form ↗MHSA Certification Handbook, March 2026 ↗
What this route may not provide
HLS investigates care, rights, abuse, staffing, diet and environmental concerns; it excludes billing and insurance disputes. Confirm both facility licensure and program certification when a treatment center has overlapping oversight. These routes do not replace individual professional licensing complaints.
Supporting guidance: HLS complaints ↗MHSA Certification Handbook, March 2026 ↗
Do not guess about confidentiality
HLS accepts anonymous reports and says it does not reveal the complainant’s identity to the facility, but warns that circumstances may reveal who complained. Identified complainants receive acknowledgment and findings. The separate certification complaint requires complainant identifiers; its public-disclosure and facility-sharing rules were not established.
Supporting guidance: HLS facility complaint form ↗MHSA Certification Handbook, March 2026 ↗HLS complaints ↗
HLS urges prompt reporting; certification complaints have a one-year limit
HLS’s form says complaints may be filed at any time but urges prompt reporting. Its webpage describes investigation priorities: immediate-jeopardy reports within two working days, higher harm within 2–10, most others within 60 working days. These are agency targets. The certification handbook separately requires filing within one year of the alleged violation.
Supporting guidance: HLS complaints ↗HLS facility complaint form ↗MHSA Certification Handbook, March 2026 ↗
What may happen after filing
HLS investigates through interviews and facility-record review, with follow-up to identified complainants. The certification program may investigate, require correction, issue adverse action and conduct an administrative hearing. Do not assume one unit automatically handles the other unit’s complaint.
Supporting guidance: HLS complaints ↗HLS facility complaint form ↗MHSA Certification Handbook, March 2026 ↗
Prepare a reviewable submission
State the concern you want reviewed, give a short chronology and factual consequences, and explain your request. Keep supporting records and follow the receiving authority’s instructions before attaching or sending them.
Read the linked authority and process information ↗
Other facility processes to consider
These processes have different purposes. The national guidance below does not establish this state’s filing requirements or change the verification level shown above.
Hospital grievance
For hospitals covered by CMS hospital Conditions of Participation, ask for the grievance contact and written procedure. The hospital must specify response timeframes and give a written decision describing its contact, investigation, results and completion date. These are hospital rules, not a single rule for every facility. You may contact the responsible State Survey Agency without first completing the hospital process.
Supporting guidance: CMS: hospital grievance guidance ↗
State oversight
Match external oversight to the facility type and license. State Survey Agencies help CMS assess federal compliance; state licensing may cover different settings. Confirm jurisdiction rather than assuming one contact handles every clinic or residential program.
Supporting guidance: CMS: State Survey Agency contacts ↗
Medicare quality review and appeals
People with Medicare can ask their Medicare quality-review organization (BFCC-QIO) about eligible quality-of-care concerns. A complaint is different from a fast appeal when discharge or covered services may be ending too soon. Follow the Important Message from Medicare or Notice of Medicare Non-Coverage immediately; the notice identifies the contact and deadline. A routine grievance does not substitute for that appeal.
Supporting guidance: Medicare: fast appeals and BFCC-QIO help ↗
Long-term-care advocacy
Long-Term Care Ombudsmen advocate for residents of nursing homes, assisted living and similar residential settings. They help resolve concerns according to the resident’s wishes; they are not licensing enforcement. Identity disclosure generally requires informed consent, with court-order and specified incapacity exceptions. Ask how resident, representative and complainant consent applies.
Supporting guidance: ACL: Long-Term Care Ombudsman Program ↗45 CFR 1324: Long-Term Care Ombudsman rules ↗
National sources and scope
CMS: hospital grievance guidance ↗
Hospital participation scope and tags A-0118, A-0121–A-0123: written/verbal grievances, response policy, written decision and direct state-agency access. Relevant passages only; not a rule for every facility.
Source checked: September 19, 2026
CMS: State Survey Agency contacts ↗
Federal participation oversight and quality complaint directory; confirm facility-type jurisdiction and state licensing separately.
Source checked: September 19, 2026
Medicare: fast appeals and BFCC-QIO help ↗
Eligible care-ending/discharge appeals, notice-specific timing and costs; separate quality-of-care help for Medicare-covered services.
Source checked: September 19, 2026
ACL: Long-Term Care Ombudsman Program ↗
Resident advocacy in nursing homes, assisted living, board-and-care and similar residential care; state-program locator.
Source checked: September 19, 2026
45 CFR 1324: Long-Term Care Ombudsman rules ↗
Sections 1324.11(e)(3) and 1324.19: resident direction, consent, complainant/resident identity protection, court orders and limited incapacity exceptions; distinct from regulatory enforcement. Current through September 17, 2026 when checked.
Source checked: September 19, 2026
Sources and scope
HLS complaints ↗
Public filing methods, scope, limits and investigation targets
Source checked: September 19, 2026
HLS facility complaint form ↗
Facts, identity handling, acknowledgment and filing timing
Source checked: September 19, 2026
Healthcare Licensing and Surveys ↗
Licensed facility categories
Source checked: September 19, 2026
Provider certification ↗
Separate behavioral-program certification and contacts
Source checked: September 19, 2026
MHSA Certification Handbook, March 2026 ↗
Covered services and complaint requirements, pages 2–5 and 23–24
Source checked: September 19, 2026
Source check: September 19, 2026. This records a review of the linked material, not a decision about your case. No clinical or legal reviewer is identified for this guide. Confirm current instructions with the receiving authority.