Common use of Notices of Action and Disposition of Appeals for Medicaid Members Clause in Contracts

Notices of Action and Disposition of Appeals for Medicaid Members. The MCO must notify the Member, in accordance with 1 T.A.C. Chapter 357, whenever the MCO takes an Action. The notice must, at a minimum, include any information required by the Uniform Managed Care Manual Chapters 3.21 and 3.22 regarding notices of actions and incomplete prior authorization requests.