Common use of Grievance and Appeal Reporting Clause in Contracts

Grievance and Appeal Reporting. Provides the completed Grievance and Appeal report as required in section 8.6 and 8.8, and as stated below; and (1) Reports that MCO has no Grievance and Appeal activity for a given quarter, and notifies the STATE’S Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter; or (2) Correctly completes as an aggregate at least ninety (90) percent, calculated out to two decimal places with no rounding, of the required data fields on the written Grievances and the oral and written Appeals submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’S status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit Grievance and Appeal data.

Grievance and Appeal Reporting. (1) Provides the completed Grievance and Appeal report as required in section 8.6 and 8.8, and as stated below; and (12) Reports that MCO it has no Grievance and Appeal activity for a given quarter, and notifies the STATE’S ’s Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter; or (23) Correctly completes as an aggregate at least ninety percent (90) percent%), calculated out to two decimal places with no rounding, of the required data fields correctly on the written Grievances and the oral and written Appeals submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’S ’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit Grievance and Appeal data.

Grievance and Appeal Reporting. (1) Provides the completed Grievance and Appeal report as required in section sections 8.6 and 8.8, and as stated below; and (12) Reports that MCO it has no Grievance and Appeal activity for a given quarter, and notifies the STATE’S Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter; or (23) Correctly completes as an aggregate at least ninety percent (90) percent%), calculated out to two decimal places with no rounding, of the required data fields on the written Grievances and the oral and written Appeals submitted electronically in a report format designated by the STATE. The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’S ’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit Grievance and Appeal data.

Grievance and Appeal Reporting. (1) Provides the completed Grievance and Appeal report as required in section sections 8.6 and 8.8, and as stated below; and (12) Reports that MCO it has no Grievance and Appeal activity for a given quarter, and notifies the STATE’S Ombudsman Office by e-mail or in writing by the 15th day of the month following the quarter; or (23) Correctly completes as an aggregate at least ninety percent (90) percent%), calculated out to two decimal places with no rounding, of the required data fields on the written Grievances and the oral and written Appeals submitted electronically in a report format designated by the STATE. STATE.‌ The STATE agrees to provide a report to the MCO, on a quarterly basis, of the MCO’S ’s status on completion of required data fields. The MCO shall have sixty (60) days from receipt of the quarterly report to resubmit Grievance and Appeal data.