Common use of Document Maintenance, Grievances Clause in Contracts

Document Maintenance, Grievances. (A) Using its previously established verbal complaint logging and tracking system, the Contractor shall log all oral Grievances and include: (1) date the Grievance was received; (2) general description of the Grievance; (3) name of Enrollee for whom the Grievance was filed; (4) date and method of acknowledgement (orally or in writing); (5) name of the person taking the Grievance; (6) date of resolution and summary of the resolution; (7) date of each review, or if applicable, review meeting; (8) the resolution, and date of resolution at each level of review, or if applicable, review meeting; (9) name of person resolving the Grievance; (10) date the Enrollee was notified of the resolution and how the Enrollee was notified (either orally or in writing). If the Enrollee was notified of the disposition in writing, the Contractor shall maintain a copy of the written notification; and (11) any other pertinent documentation needed to maintain a complete record of all Grievances and to demonstrate that the Grievances were adjudicated according to the Contract provisions governing Grievances. (B) The Contractor shall accurately and in a manner accessible to the Department and available upon request to CMS, maintain all written Grievances and copies of the written notices of resolution to the affected parties.

Document Maintenance, Grievances. (A) Using its previously established verbal complaint logging and tracking system, the Contractor shall log all oral Grievances and includeinclude the following: (1) general description of the reason for the Grievance; (2) date the Grievance was received; (2) general description of the Grievance; (3) name of Enrollee for whom the Grievance was filed; (4) date and method of acknowledgement (orally or in writing); (54) name of the person taking the Grievance; (65) date of resolution and summary name of the resolutionEnrollee for whom the Grievance was filed; (76) date of each review, or if applicable, review meeting; (8) the resolution, and 7) date of resolution at each level and summary of review, or if applicable, review meetingthe resolution; (9) 8) name of person resolving the Grievance;; and (109) date the Enrollee was notified of the resolution and how the Enrollee was notified (either orally or in writing). If the Enrollee was notified of the disposition in writing, the Contractor shall maintain a copy of the written notification; and (11) any other pertinent documentation needed to maintain a complete record of all Grievances and to demonstrate that the Grievances were adjudicated according to the Contract provisions governing Grievances. (B) The Contractor shall accurately accurately, and in a manner accessible to the Department and available upon request to CMS, maintain all written Grievances and copies of the written notices of resolution to the affected parties.