External Appeals. i) Description of circumstances where a person may request an external appeal ii) Time frames for applying for appeal and for decision-making iii) How and where to apply iv) Describe expedited appeal time frame v) Process for Contractor and Enrollee to agree on waiving the UR appeal process.
Appears in 6 contracts
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
External Appeals. i) Description of circumstances where when a person may request an external appeal.
ii) Time frames for applying for appeal and for decision-making.
iii) How and where to apply.
iv) Describe expedited appeal time frame.
v) Process for Contractor and Enrollee to agree on waiving the UR appeal process.
Appears in 1 contract
Samples: Consultant Services Agreement (Wellcare Health Plans, Inc.)
