Member Grievances and Appeals. Member grievances, complaints, and/or appeals shall be resolved in accordance with Federal and/or State laws, regulations and Government Guidance and as set forth in CalOptima Policies relating to the applicable CalOptima Program. County agrees to cooperate in the investigation of the issues and be bound by CalOptima’s grievance decisions and, if applicable, State and/or Federal hearing decisions or any subsequent appeals.
Appears in 7 contracts
Samples: Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Behavioral Health Care Services Contract
Member Grievances and Appeals. Member grievances, complaints, and/or appeals shall be resolved in accordance with Federal and/or State laws, regulations and Government Guidance and as set forth in CalOptima Policies relating to the applicable CalOptima Program. County agrees to cooperate in the investigation of the issues and be bound by CalOptima’s 's grievance decisions and, if applicable, State and/or Federal hearing decisions or any subsequent appeals.
Appears in 1 contract
Samples: Coordination and Provision of Public Health Care Services Contract
