Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Appeal and Grievance Data Form, Form CMS-R-0282

Upon a beneficiary's request, a health plan must provide reports that describe what happened to formal grievance and appeal data. This information must be calculated according to a standardized formula. The form used to report this information to the beneficiary is the Appeal and Grievance Data Form, Form CMS-R-0282

Issued by: Centers for Medicare & Medicaid Services (CMS)

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.