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Common use of Notice of Action Clause in Contracts

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.

Appears in 2 contracts

Samples: Contract, Contract

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.

Appears in 2 contracts

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.

Appears in 1 contract

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.

Appears in 1 contract

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