Logging and Reporting of Appeals and Grievances. The MCP shall maintain records of all appeals and grievances, including resolutions, for a period of ten years. Upon request, the records shall be made available to ODM and the Medicaid Fraud Control Unit. i. The record of each grievance or appeal shall contain, at a minimum: 1. The name of the member for whom the appeal or grievance was filed; 2. The date the appeal or grievance was received; 3. A general description of the reason for the appeal or grievance;
Appears in 21 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Logging and Reporting of Appeals and Grievances. The MCP MCOP shall maintain records of all appeals and grievances, including resolutions, for a period of ten years. Upon request, the records shall be made available to ODM and the Medicaid Fraud Control Unit.
i. The record of each grievance or appeal shall contain, at a minimum:
1. The name of the member for whom the appeal or grievance was filed;
2. The date the appeal or grievance was received;
3. A general description of the reason for the appeal or grievance;
Appears in 13 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Logging and Reporting of Appeals and Grievances. The MCP MCOP shall maintain records of all appeals and grievances, including resolutions, for a period of ten years. Upon request, the records shall be made available to ODM and the Medicaid Fraud Control Unit.
i. The record of each grievance or appeal shall contain, at a minimum:
1. The name of the member for whom the appeal or grievance was filed;
2. The date the appeal or grievance was received;
3. A general description of the reason for the appeal or grievance;
Appears in 4 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
