Common use of Integrated Appeals and Grievances Process – Medicaid Advantage Plus Clause in Contracts

Integrated Appeals and Grievances Process – Medicaid Advantage Plus. (i) Health Plan’s Exclusively Aligned D-SNPs shall comply with an integrated appeals and grievance process at both the internal Health Plan and fair hearing levels for Medicare and Medicaid services, consistent with the requirements outlined under the MAP Integrated Appeals and Grievances Process Demonstration established per Federal and State partnership for certain Medicaid Integrated Plans. .

Appears in 2 contracts

Samples: State Medicaid Agency Contract, State Medicaid Agency Contract

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Integrated Appeals and Grievances Process – Medicaid Advantage Plus. (i) Health Plan’s Exclusively Aligned D-SNPs shall comply with an integrated appeals and grievance process at both the internal Health Plan and fair hearing levels for Medicare and Medicaid services, consistent with the requirements outlined under the MAP Integrated Appeals and Grievances Process Demonstration established per Federal and State partnership for certain Medicaid Integrated Plans. .

Appears in 1 contract

Samples: State Medicaid Agency Contract

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Integrated Appeals and Grievances Process – Medicaid Advantage Plus. (i) Health Plan’s Exclusively Aligned D-SNPs shall comply with an integrated appeals and grievance process at both the internal Health Plan and fair hearing levels for Medicare and Medicaid services, consistent with the requirements outlined under the MAP Integrated MAPIntegrated Appeals and Grievances Process Demonstration established per Federal and State partnership for certain Medicaid Integrated Plans. .

Appears in 1 contract

Samples: State Medicaid Agency Contract

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