Common use of Appeals and Grievances Clause in Contracts

Appeals and Grievances. Subcontractor shall, and shall require Provider to comply with United’s process for Covered Person appeals and grievances, including emergency appeals, as set forth in the provider manual. This shall include but not be limited to the following: (a) Assisting a Covered Person by providing appeal forms and contact information, including the appropriate address, telephone number and/or fax number for submitting appeals for United and/or State level review; and (b) Displaying notices in public areas of Subcontractor’s and/or Provider’s facility(ies) of a Covered Person’s right to appeal adverse actions affecting Covered Services in accordance with LDH’s rules and regulations, subsequent amendments, and any and all consent decrees and court orders. United shall ensure that Subcontractor and/or Provider have correct and adequate supply of such public notices.

Appeals and Grievances. Subcontractor shall, and shall require Provider to comply with United’s process for Covered Person appeals and grievances, including emergency appeals, as set forth in the provider manual. This shall include but not be limited to the following: (a) Assisting a Covered Person by providing appeal forms and contact information, including the appropriate address, telephone number and/or fax number for submitting appeals for United and/or State level review; and (b) Displaying notices in public areas of Subcontractor’s and/or Provider’s facility(ies) of a Covered Person’s right to appeal adverse actions affecting Covered Services in accordance with LDHDHH’s rules and regulations, subsequent amendments, and any and all consent decrees and court orders. United shall ensure that Subcontractor and/or Provider have correct and adequate supply of such public notices.