Grievance and DHS Fair Hearing Process Sample Clauses

Grievance and DHS Fair Hearing Process. The CHC-MCO must develop, implement, and maintain a Complaint and Grievance process that provides for settlement of Participants' Complaints and Grievances and the processing of requests for DHS Fair Hearings as outlined in Exhibit T Complaint, Grievance, and DHS Fair Hearing Processes. The CHC-MCO must use templates T(1) through T(14) to inform Participants regarding decisions and the process. The CHC-MCO must require each of its subcontractors to comply with the Participant Complaint, Grievance, and DHS Fair Hearing Process, including reporting requirements established by the CHC-MCO, which have received advance written approval by the Department. The CHC-MCO must provide to the Department for approval, its written procedures governing the resolution of Complaints and Grievances and the processing of DHS Fair Hearing requests. The CHC-MCO may not delegate the Complaint, Grievance and Fair Hearing process to a subcontractor without prior written approval of the Department. The CHC-MCO must abide by the final DOH decision when a Participant has filed an external appeal of a second level Complaint decision. When a Participant files an external appeal of a second level Grievance decision, the CHC-MCO must abide by the decision of the DOH’s certified review entity, which was assigned to conduct the independent external review, unless appealed to the court of competent jurisdiction. The CHC-MCO must abide by the decision of BHA for those cases when a Participant has requested a DHS Fair Hearing, unless the CHC-MCO or the Participant files a timely request for reconsideration before the Secretary of the Department. A request for reconsideration to the Secretary of the Department will stay the action proposed in the BHA decision. In cases where a timely request for reconsideration is made and the Secretary issues a timely decision on reconsideration, the CHC-MCO and Participant must comply with the reconsideration decision. Only the Participant may appeal a BHA final administrative action and the reconsideration decision to Commonwealth Court.
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Related to Grievance and DHS Fair Hearing Process

  • Hearing Procedure Prior to initiating the hearing procedure, the school official, the parent(s) or the guardian may request a conference to provide an opportunity for the parent(s)/guardian(s) and school official(s) to discuss the situation, present information, obtain an explanation of data submitted in the application and the decisions rendered. Such a conference shall not in any way prejudice nor diminish the right to a fair hearing. The designated hearing official shall ensure that the hearing procedure provides the following for both the household and the LEA:

  • Hearing Procedures The hearing shall be conducted to preserve its privacy and to allow reasonable procedural due process. Rules of evidence need not be strictly followed, and the hearing shall be streamlined as follows:

  • Complaints Procedure 18.1 If the Client has any cause for complaint in relation to the services provided by the Company, he should file a complaint as per the Company’s Complaint Handling policy which is available on the Company’s website.

  • Grievance Process In the event of any dispute arising in connection with any part of this clause, such a dispute shall be processed in accordance with the dispute settling provisions of this Agreement.

  • COMPLAINT AND GRIEVANCE PROCEDURE 1. When a member of the bargaining unit has any grievance or complaint, he shall forthwith convey to his immediate superior, orally with or without a member of the Association Executive or in writing, all facts relative to the grievance and/or complaint. The member and the superior shall make every attempt to resolve the problem at this preliminary stage.

  • CENTRAL GRIEVANCE PROCESS The following process pertains exclusively to grievances on central matters that have been referred to the central process. In accordance with the School Boards Collective Bargaining Act central matters may also be grieved locally, in which case local grievance processes will apply.

  • Complaints Process The School shall establish and adhere to a process for resolving public complaints which shall include an opportunity for complainants to be heard. The final administrative appeal shall be heard by the School's Governing Board, except where the complaint pertains to a possible violation of any law or term under this Contract. The complaints process shall be readily accessible from the School’s website, as described in Section 11.4.1.

  • Complaints by Bidders and Handling of Complaints (ix) The Recipient shall implement an effective and independent protest mechanism allowing bidders to protest and to have their protests handled in a timely manner. Fraud and Corruption

  • CENTRAL GRIEVANCE PROCEDURE 15.1 Effective until April 30, 2019, this procedure applies to differences:

  • Grievance Hearings Each grievance hearing will be conducted by the designated administrator to determine what, if any, violation of this Agreement has occurred. Hearings will be attended by the grievant, the Hearing officer, and up to two (2) additional representatives designated by the parties respective sides. The parties may request and mutually agree that additional witnesses/representatives may attend. Witnesses will be permitted to attend hearings in those instances when the grievant and/or the Union need information more specific than that available to the grievant or Union. The parties agree that the University will schedule grievance hearings no later than two (2) hours prior to the end of the grievant’s and/or Union representative’s work shift, and the grievant will be released from duty early enough to be able to attend the grievance hearing as scheduled. If such hearings extend beyond the end of the normal work schedule of any bargaining unit member(s), the bargaining unit member(s) present at the grievance hearing will not be paid for any time spent after the end of the work schedule. Grievance hearings for bargaining unit members whose work schedules are other than the standard day shift will be scheduled at mutually convenient times. A “class action” grievance is when more than one (1) employee files a grievance over the same alleged violation, misapplication and/or misinterpretation of the terms of the Agreement. When such occurs the grievant or the Union will attempt to identify the bargaining unit members initially involved in the class action grievance, or will provide a description of the class in sufficient detail to enable the University to investigate the grievance. In class action grievances no more than one (1) grievant may attend the hearings.

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