Grievance System. a) The Contractor shall ensure that its Grievance System includes methods for prompt internal adjudication of Enrollee Complaints, Complaint Appeals and Action Appeals and provides for the maintenance of a written record of all Complaints, Complaint Appeals and Action Appeals received and reviewed and their disposition, as specified in Appendix F of this Agreement. b) The Contractor shall ensure that persons with authority to require corrective action participate in the Grievance System.
Appears in 4 contracts
Samples: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract, Medicaid Managed Care Contract (Wellcare Health Plans, Inc.)
