Common use of Notification of Action and Grievance System Procedures Clause in Contracts

Notification of Action and Grievance System Procedures. a) The Contractor will advise Enrollees of their right to a fair hearing as appropriate and comply with the procedures established by SDOH for the Contractor to participate in the fair hearing process, as set forth in Section 25 of this Agreement. The Contractor will also advise Enrollees of their right to an External Appeal, in accordance with Section 26 of this Agreement.

Appears in 4 contracts

Samples: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract, Plan Agreement (Wellcare Health Plans, Inc.)

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