Grievance and Appeal System. The processes the Contractor implements to handle Appeals of an Adverse Benefit Determination and Grievances, as well as the processes to collect and track information about them.
Appears in 12 contracts
Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)
Grievance and Appeal System. The processes the Contractor implements to handle Appeals of an Adverse Benefit Determination Determinations and Grievances, as well as and the processes to collect and track information about them.. [42 C.F.R. § 438.400(b)]
Appears in 1 contract
Grievance and Appeal System. The processes process the Contractor implements to handle Grievances and Appeals of an Adverse Benefit Determination and GrievancesDetermination, as well as the processes to collect and track information about themGrievances and Appeals.
Appears in 1 contract
Samples: Master Service Agreement
