Common use of Expedited Appeal Process Clause in Contracts

Expedited Appeal Process. 13.4.1. The Contractor shall establish and maintain an expedited appeal review process for appeals when the Contractor determines, for a request from the enrollee, or the provider indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, that taking the time for a standard resolution could seriously jeopardize the enrollee’s life or health or ability to attain, maintain, or regain maximum function (42 CFR 438.410(a)).

Expedited Appeal Process. 13.4.1. 13.4.1 The Contractor shall must establish and maintain an expedited appeal review process for appeals when the Contractor determines, for determines or a request from the enrollee, or the provider indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, indicates that taking the time for a standard resolution could seriously jeopardize the enrolleeEnrollee’s life life, physical or mental health or ability to attain, maintain, or regain maximum function (42 CFR C.F.R. § 438.410(a)).

Expedited Appeal Process. 13.4.110.4.1. The Contractor shall establish and maintain an expedited appeal review process for appeals when the Contractor determines, for a request from the enrollee, or the provider indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, that taking the time for a standard resolution could seriously jeopardize the enrollee’s life or health or ability to attain, maintain, or regain maximum function (42 CFR 438.410(a))function.

Expedited Appeal Process. 13.4.1. 10.4.1 The Contractor shall establish and maintain an expedited appeal review process for appeals when the Contractor determines, for a request from the enrollee, or the provider indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, that taking the time for a standard resolution could seriously jeopardize the enrollee’s life or health or ability to attain, maintain, or regain maximum function (42 CFR 438.410(a))function.