Informal Review with the Care Manager and Care Manager Supervisor Sample Clauses

Informal Review with the Care Manager and Care Manager Supervisor. Any questions, concerns, or problems regarding services must first be discussed with the care manager and the care manager’s supervisor. This informal meeting may take place either at the agency or at the applicant’s or participant’s home. The applicant or participant may be accompanied by an advocate. Within 5 business days of the date of the informal review, the care manager supervisor must inform the applicant or participant in writing of the decision reached on the issues raised at the meeting. The care manager supervisor must also inform the applicant or participant that he/she may appeal the decision, in writing only, within 18 calendar days of the date of the care manager supervisor’s decision.