Common use of GRIEVANCE AND APPEALS SYSTEM Clause in Contracts

GRIEVANCE AND APPEALS SYSTEM. In accordance with 42 C.F.R. §438.400.,the processes the MCO, PIHP, or PAHP implements to handle appeals of an adverse benefit determination and grievances, as well as the processes to collect and track information about grievances and appeals.

Appears in 6 contracts

Samples: eohhs.ri.gov, eohhs.ri.gov, eohhs.ri.gov

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GRIEVANCE AND APPEALS SYSTEM. In accordance with 42 C.F.R. §438.400.,the processes the MCO, PIHP, or PAHP implements to handle appeals of an adverse benefit determination and grievances, as well as the processes to collect and track information about grievances and appeals.

Appears in 3 contracts

Samples: eohhs.ri.gov, eohhs.ri.gov, eohhs.ri.gov

GRIEVANCE AND APPEALS SYSTEM. In accordance Accordance with 42 C.F.R. §438.400.,the § 438.400. the processes the MCO, PIHP, or PAHP implements to handle appeals of an adverse benefit determination and grievances, as well as the processes to collect and track information about grievances and appealsthem.

Appears in 2 contracts

Samples: Agreement, Agreement

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GRIEVANCE AND APPEALS SYSTEM. In accordance Accordance with 42 C.F.R. §438.400.,the § 438.400. the processes the MCO, PIHP, or PAHP implements to handle appeals of an adverse benefit determination and grievances, as well as the processes to collect and track information about grievances and appealsthem.

Appears in 1 contract

Samples: Agreement

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