Customer Services Standards Sample Clauses
Customer Services Standards. P.6.3.2.1 Appeal and Grievance Resolution Processes Technical Requirement P.6.3.3.B.2.f Technical Advisory for Estimated Cost of Services P.6.3.3.B.2.g Technical Requirement for Explanation of Benefits
Customer Services Standards. P.6.3.2.1 Appeal and Grievance Resolution Processes Technical Requirement
Customer Services Standards. Revised: October, 2012
Customer Services Standards. Under Template #3-Emergency and After-Hours Access to Services: A “behavioral health emergency” is when a person is experiencing symptoms and behaviors that can reasonably be expected in the near future to lead him/her to harm self or another; or because of his/her inability to meet his/her basic needs he/she is at risk of harm; or the person’s judgment is so impaired that he or she is unable to understand the need for treatment and that their condition is expected to result in harm to him/herself or another individual in the near future. You have the right to choose any hospital or other setting to receive emergency services at any time, 24-hours a day, seven days a week, without prior authorization for payment of care as referenced in 42 CFR 438.10(g)(2)(v).