Common use of Contesting Findings Clause in Contracts

Contesting Findings. In the event that information attested to by an individual for matching purposes is inconsistent with information received through electronic verifications obtained by the AE through the Hub, the AE must provide notice to the individual that the information the individual provided did not match information received through electronic verifications as follows: 1. If the AE is an Exchange, an individual seeking to resolve inconsistencies between attestations and the results of electronic verification for the purposes of completing an eligibility determination should be provided the opportunity to follow the procedures outlined in 45 CFR § 155.315(f). The AE will provide the individual with the proper contact information and instructions for resolving the inconsistency. 2. If the AE is an agency administering a Medicaid or CHIP program, an individual seeking to resolve an inconsistency between an attestation and the result of an electronic verification for the purposes of completing an eligibility determination should be provided the opportunity to follow the procedures outlined in 42 CFR §§ 435.952, 435.956 and 457.380. The AE will provide the individual with the proper contact information and instructions for resolving the inconsistency. 3. Per 42 CFR § 600.345, if the AE is a BHP, it must elect either Exchange verification procedures at 45 CFR §§ 155.315 and 155.320, or Medicaid verification procedures at 45 CFR § 435.945-956; and must resolve inconsistencies as set forth in paragraphs VI.B.1 and 2 above.

Appears in 1 contract

Samples: Computer Matching Agreement

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Contesting Findings. In the event that information attested to by an individual for matching purposes is inconsistent with information received through electronic verifications obtained by the AE DoD through the Hub, the AE DoD must provide notice to the individual that the information the individual they provided did not match information received through electronic verifications as follows: 1. If the AE is an Exchange, an individual seeking to resolve inconsistencies between attestations and the results of electronic verification for the purposes of completing an eligibility determination Eligibility Determination should be provided the opportunity to follow the procedures outlined in 45 CFR § 155.315(f). The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 2. If the AE is an agency administering a Medicaid or CHIP program, an individual seeking to resolve an inconsistency inconsistencies between an attestation attestations and the result results of an electronic verification verifications for the purposes of completing an eligibility determination Eligibility Determination should be provided the opportunity to follow the procedures outlined in 42 CFR §§ 435.952, 435.956 and 457.380. The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 3. Per 42 CFR § 600.345, if the AE is a BHP, it must elect either Exchange verification procedures at 45 CFR §§ 155.315 and 155.320, or Medicaid verification procedures at 45 42 CFR § 435.945-956; and must will resolve inconsistencies as set forth in paragraphs VI.B.1 Paragraphs VI.B.1. and 2 above.

Appears in 1 contract

Samples: Computer Matching Agreement

Contesting Findings. In the event that information attested to by an individual for matching purposes is inconsistent with information received through electronic verifications obtained by the AE through the Hub, the AE must provide notice to the individual that the information the individual provided did not match information received through electronic verifications as follows: 1. If the AE is an Exchange, an individual seeking to resolve inconsistencies between attestations and the results of electronic verification for the purposes of completing an completingan eligibility determination should be provided the opportunity to follow the procedures outlined in 45 CFR § 155.315(f). The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 2. If the AE is an agency administering a Medicaid or CHIP program, an individual seeking to resolve an inconsistency between an attestation and the result of an electronic verification for the purposes of completing an eligibility determination should be provided the opportunity to follow the procedures outlined in 42 CFR §§ 435.952, 435.956 and 457.380. The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 3. Per 42 CFR § 600.345, if the AE is a BHP, it must elect either Exchange verification procedures at 45 CFR §§ 155.315 and 155.320, or Medicaid verification procedures at 45 CFR § 435.945-956; and must resolve inconsistencies as set forth in paragraphs VI.B.1 and 2 above.

Appears in 1 contract

Samples: Computer Matching Agreement

Contesting Findings. In the event that information attested to by an individual for matching purposes is inconsistent with information received through electronic verifications obtained by the AE VHA through the Hub, the AE VHA must provide notice to the individual that the information the individual they provided did not match information received through electronic verifications as follows: 1. If the AE is an Exchange, an individual seeking to resolve inconsistencies between attestations and the results of electronic verification for the purposes of completing an eligibility determination Eligibility Determination should be provided the opportunity to follow the procedures outlined in 45 CFR § 155.315(f). The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency.inconsistency.‌ 2. If the AE is an agency administering a Medicaid or CHIP program, an individual seeking to resolve an inconsistency inconsistencies between an attestation attestations and the result results of an electronic verification for the purposes of completing an eligibility determination Eligibility Determination should be provided the opportunity to follow the procedures outlined in 42 CFR §§ 435.952, 435.956 and 457.380. The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 3. Per 42 CFR § 600.345, if the AE is a BHP, it must elect either Exchange verification procedures at 45 CFR §§ 155.315 and 155.320, or Medicaid verification procedures at 45 CFR § 435.945-956; and must will resolve inconsistencies as set forth in paragraphs VI.B.1 and VI.B.1. And 2 above.

Appears in 1 contract

Samples: Computer Matching Agreement

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Contesting Findings. In the event that information attested to by an individual for matching purposes is inconsistent with information received through electronic verifications obtained by the AE VHA through the Hub, the AE VHA must provide notice to the individual that the information the individual they provided did not match information received through electronic verifications as follows: 1. If the AE is an Exchange, an individual seeking to resolve inconsistencies between attestations and the results of electronic verification for the purposes of completing an eligibility determination Eligibility Determination should be provided the opportunity to follow the procedures outlined in 45 CFR § 155.315(f). The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 2. If the AE is an agency administering a Medicaid or CHIP program, an individual seeking to resolve an inconsistency inconsistencies between an attestation attestations and the result results of an electronic verification for the purposes of completing an eligibility determination Eligibility Determination should be provided the opportunity to follow the procedures outlined in 42 CFR §§ 435.952, 435.956 and 457.380. The AE will provide the individual with the proper contact information and instructions for to the individual resolving the inconsistency. 3. Per 42 CFR § 600.345, if the AE is a BHP, it must elect either Exchange verification procedures at 45 CFR §§ 155.315 and 155.320, or Medicaid verification procedures at 45 CFR § 435.945-956; and must will resolve inconsistencies as set forth in paragraphs VI.B.1 and VI.B.1. And 2 above.

Appears in 1 contract

Samples: Computer Matching Agreement

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