Common use of External Appeals Processes Clause in Contracts

External Appeals Processes. CMS and the Commonwealth agree to utilize a streamlined Appeals process that will be developed conforming to both Medicare and Medicaid requirements, to create a more beneficiary-friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Part D appeals and grievances will continue to be managed under existing Part D rules.

External Appeals Processes. CMS and the Commonwealth State agree to utilize a streamlined Appeals process that will be developed conforming conform to both Medicare and Medicaid requirements, to create a more beneficiary-beneficiary friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Medicare Part D appeals and grievances will continue to be managed by CMS under existing Part D rules.

External Appeals Processes. CMS and the Commonwealth State agree to utilize a streamlined Appeals process that will be developed conforming to both Medicare and Medicaid requirements, to create a more beneficiary-beneficiary friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Part D appeals and grievances will continue to be managed under existing Part D rules.

External Appeals Processes. CMS and the Commonwealth State agree to utilize a streamlined Appeals process that will be developed conforming to both Medicare and Medicaid requirements, to create a more beneficiary-friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Part D appeals and grievances will continue to be managed under existing Part D rules.

External Appeals Processes. CMS and the Commonwealth State agree to utilize a streamlined Appeals process that will be developed conforming conform to both Medicare and Medicaid requirements, to create a more beneficiary-beneficiary friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Part D appeals and grievances will continue to be managed under existing Part D rules.

External Appeals Processes. CMS and the Commonwealth State agree to utilize a streamlined Appeals process that will be developed conforming conform to both Medicare and Medicaid requirements, to create a more beneficiary-beneficiary- friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Medicare Part D appeals and grievances will continue to be managed by CMS under existing Part D rules.

External Appeals Processes. CMS and the Commonwealth State agree to utilize a streamlined Appeals appeals process that will be developed conforming conform to both Medicare and Medicaid requirements, to create a more beneficiary-Enrollee friendly and easily navigable system. Protocols will be developed to assure coordinated access to the appeals mechanism. This process and these protocols are discussed in further detail in Appendix 7. Medicare Part D appeals and grievances will continue to be managed by CMS under existing Part D rules.