External Appeal. An Appeal, subsequent to the STAR+PLUS MMP Appeal decision, to the Fair Hearing process for Medicaid-based Adverse Actions or the Medicare process for Medicare-based Adverse Actions.
Appears in 2 contracts
Samples: contracts.hhs.texas.gov, clpc.ucsf.edu
External Appeal. An Appeal, subsequent to the STAR+PLUS MMP Appeal decision, to the Fair Hearing process for Medicaid-based Adverse Actions or Adverse Benefit Determination no later than September 1, 2017, or the Medicare process for Medicare-Medicare- based Adverse Actions.
Appears in 1 contract
Samples: www.cms.gov
External Appeal. An Appeal, subsequent to the STAR+PLUS MMP Appeal decision, to the HHSC Fair Hearing process for Medicaid-based Adverse Actions Benefit Determinations, or to the Medicare Independent Review Entity (IRE) process for Medicare-based Adverse ActionsBenefit Determinations.
Appears in 1 contract
Samples: www.cms.gov
