Optum Salt Lake County complies with applicable civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex (including pregnancy, sexual orientation, and gender identity) or religion. We do not exclude people or treat them less favorably because of race, color, national origin, age, disability, sex or religion.

We provide free aids and services to help you communicate with us. You can ask for interpreters and/or for communications in other languages or formats such as large print. We also provide reasonable modifications for persons with disabilities.

If you need these services, call the toll-free number 1-877-370-8953, TTY 711.

If you believe that we failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex (including pregnancy, sexual orientation, and gender identity) or religion, you can file a complaint in person or by mail, fax, or email with the Optum Grievance Representative:

In Person or Mail: 12921 South Vista Station Boulevard, Draper, UT 84020,

Phone: 1-877-370-8953

Fax: 1-855-718-6743

Email: slcoreviews@optum.com

You may file a complaint with a Medicaid Constituent Services Representative.

Mail: P.O. Box 143106, Salt Lake City, UT 84114-3106

Phone: 1-801-538-6417, 1-877-291-5583,

Fax: 1-801- 538-6805 or

Email: medicaidmemberfeedback@utah.gov

You can mail a complaint to the Optum Civil Rights Coordinator:

Mail: 1 Optum Circle Eden Prairie, MN 55344

Email:  Optum_Civil_Rights@Optum.com

If you need help filing a complaint, call the toll-free number 1-877-370-8953, TTY 711.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

Online:  ocrportal.hhs.gov/ocr/portal/lobby.jsf

Phone: 1-800-368-1019, 800-537-7697 (TDD)

Mail:     U.S. Department of Health and Human Services

            200 Independence Avenue, SW

            Room 509F, HHH Building

            Washington, D.C. 20201

Complaint forms are available at hhs.gov/ocr/office/file/index.html

This notice is available at: Optum Salt Lake County Notice of Non-Discrimination

Este aviso está disponible en: Aviso de no discriminación de Optum

Language services

Free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available for free.
Call 1-877-370-8953 or TTY 711.

Spanish

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-877-370-8953.

Chinese

中文 注意：如果您说[中文]，我们将免费为您提供语言协助服务。我们还免费提 供适当的辅助工具和服务，以无障碍格式提供信息。致电 1-877-370-8953.

Ilocano

PANANGIKASO: No agsasaoka iti Ilocano, magun-odmo dagiti libre a serbisio ti tulong iti pagsasao. Libre met laeng a magun-odan dagiti maitutop a katulongan ken serbisio a mangipaay iti impormasion kadagiti ma-akses a pormat. Awagan ti 1- 866-608-9422.

Portuguese

Serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para 1-877-370-8953.

German

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-877-370-8953.

Vietnamese

LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-877-370-8953.

Navajo

SHOOH: Diné bee yániłti’gogo, saad bee aná’awo’ bee áka’anída’awo’ít’áá jiik’eh ná hólǫ́. Bee ahił hane’go bee nida’anishí t’áá ákodaat’éhígíí dóó bee áka’anída’wo’í áko bee baa hane’í bee hadadilyaa bich’į’ ahoot’i’ígíí éí t’áá jiik’eh hólǫ́. Kohjį’ 1-877-370-8953.

Japanese

注：日本語を話される場合、無料の言語支援サービスをご利用いただけます。ア クセシブル（誰もが利用できるよう配慮された）な形式で情報を提供するための 適切な補助支援やサービスも無料でご利用いただけます。1-877-370-8953.

Arabic

نبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة

لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانا. اتصل على الرق م -1-877-370-8953

Greek

ΠΡΟΣΟΧΗ: Εάν μιλάτε ελληνικά, υπάρχουν διαθέσιμες δωρεάν υπηρεσίες υποστήριξης στη συγκεκριμένη γλώσσα. Διατίθενται δωρεάν κατάλληλα βοηθήματα και υπηρεσίες για παροχή πληροφοριών σε προσβάσιμες μορφές. Καλέστε το 1-877-370-8953.

Serbo-Croatian

OBAVJEŠTENJE:  Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno.  Odgovarajuća pomoćna pomagala i usluge za pružanje informacija u dostupni formati su takođe besplatni.  Nazovite 1-877-370-8953.

Russian

ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 1-877-370-8953.

Tagalog

PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa 1-877-370-8953.

Korean

주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-877-370-8953.

French

Des services d’assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement.   Appelez le 1-877-370-8953.