Notice of Action. In accordance with Article XI, Section D.1., page 166, the MCO shall provide written notice of action to the member when a decision is made to: a. Deny or limit a member’s request for a service in the benefit package; b. Terminate, reduce, or suspend any currently authorized service; or c. Deny payment for services in the benefit package.
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Notice of Action. In accordance with Article XI, Section D.1.Grievances and Appeals, page 166144, the MCO shall provide written notice of action to the member when a decision is made to:
a. Deny or limit a member’s request for a service in the benefit package;
b. Terminate, reduce, or suspend any currently authorized service; or
c. Deny payment for services in the benefit package.
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Samples: Partnership Agreement, Contract
Notice of Action. In accordance with Article XI, Section D.1., page 166156, the MCO shall provide written notice of action to the member when a decision is made to:
a. Deny or limit a member’s request for a service in the benefit package;
b. Terminate, reduce, or suspend any currently authorized service; or
c. Deny payment for services in the benefit package.
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Samples: <<program>> Contract
Notice of Action. In accordance with Article XI, Section D.1., page 166174, the MCO shall provide written notice of action to the member when a decision is made to:
a. Deny or limit a member’s request for a service in the benefit package;
b. Terminate, reduce, or suspend any currently authorized service; or
c. Deny payment for services in the benefit package.
Appears in 1 contract
Samples: Contract
Notice of Action. In accordance with Article XI, Section D.1.Grievances and Appeals, page 166135, the MCO shall provide written notice of action to the member when a decision is made to:
a. Deny or limit a member’s request for a service in the benefit packageservice;
b. Terminate, reduce, or suspend any currently authorized a current service; or
c. Deny payment for services in the benefit packagean authorized service.
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Samples: Contract
Notice of Action. In accordance with Article XI, Section D.1., page 166181, the MCO shall provide written notice of action to the member when a decision is made to:
a. Deny or limit a member’s request for a service in the benefit package;
b. Terminate, reduce, or suspend any currently authorized service; or
c. Deny payment for services in the benefit package.
Appears in 1 contract
Samples: Contract
Notice of Action. In accordance with Article XI, Section D.1., page 166160, the MCO shall provide written notice of action to the member when a decision is made to:
a. Deny or limit a member’s request for a service in the benefit package;
b. Terminate, reduce, or suspend any currently authorized service; or
c. Deny payment for services in the benefit package.
Appears in 1 contract
Samples: Contract