Common use of REVIEW OF REMEDY OR REMEDIES TO BE IMPOSED Clause in Contracts

REVIEW OF REMEDY OR REMEDIES TO BE IMPOSED. 18.10.1 HMO may dispute the imposition of any sanction under this contract. HMO notifies TDH of its dispute by filing a written response to the Notice of Default, clearly stating the reason HMO disputes the proposed sanction. With the written response, HMO must submit to TDH any documentation that supports HMO's position. HMO must file the review within 15 days from HMO's receipt of the Notice of Default. Filing a dispute in a written response to the Notice of Default suspends imposition of the proposed sanction. 18.10.2 HMO and TDH must attempt to informally resolve the dispute. If HMO and TDH are unable to informally resolve the dispute, HMO must notify the Bureau Chief of Managed Care that HMO and TDH cannot agree. The Bureau Chief will refer the dispute to the Associate Commissioner for Health Care Financing who will appoint a committee to review the dispute under TDH's dispute resolution procedures. The decision of the dispute resolution committee will be TDH's final administrative decision. 1999 Renewal Contract Tarrant Service Area 150 August 9, 1999 151

REVIEW OF REMEDY OR REMEDIES TO BE IMPOSED. 18.10.1 HMO may dispute the imposition of any sanction under this contract. HMO notifies TDH of its dispute by filing a written response to the Notice of Default, clearly stating the reason HMO disputes the proposed sanction. With the written response, HMO must submit to TDH any documentation that supports HMO's position. HMO must file the review within 15 days from HMO's receipt of the Notice of Default. Filing a dispute in a written response to the Notice of Default suspends imposition of the proposed sanction. 18.10.2 HMO and TDH must attempt to informally resolve the dispute. If HMO and TDH are unable to informally resolve the dispute, HMO must notify the Bureau Chief of Managed Care that HMO and TDH cannot agree. The Bureau Chief will refer the dispute to the Associate Commissioner for Health Care Financing who will appoint a committee to review the dispute under TDH's dispute resolution procedures. The decision of the dispute resolution committee will be TDH's final administrative decision. 1999 Renewal Contract Tarrant Service Area 150 August 9, 1999 151.

REVIEW OF REMEDY OR REMEDIES TO BE IMPOSED. 18.10.1 HMO may dispute the imposition of any sanction under this contract. HMO notifies TDH of its dispute by filing a written response to the Notice of Default, clearly stating the reason HMO disputes the proposed sanction. With the written response, HMO must submit to TDH any documentation that supports HMO's position. HMO must file the review within 15 days from HMO's receipt of the Notice of Default. , Filing a dispute in a written response to the Notice of Default suspends imposition of the proposed sanction. 18.10.2 HMO and TDH must attempt to informally resolve the dispute. If HMO and TDH are unable to informally resolve the dispute, HMO must notify the Bureau Chief of Managed Care that HMO and TDH cannot agree. The Bureau Chief will refer the dispute to the Associate Commissioner for Health Care Financing who will appoint a committee to review the dispute under TDH's dispute resolution procedures. The decision of the dispute resolution committee will be TDH's final administrative decision. 1999 Renewal Contract Tarrant Service Area 150 August 9, 1999 151.

REVIEW OF REMEDY OR REMEDIES TO BE IMPOSED. 18.10.1 HMO may dispute the imposition of any sanction under this contract. HMO notifies TDH HHSC of its dispute by filing a written response to the Notice of Default, clearly stating the reason HMO disputes the proposed sanction. With the written response, HMO must submit to TDH HHSC any documentation that supports HMO's position. HMO must file the review within 15 days from HMO's receipt of the Notice of Default. Filing a dispute in a written response to the Notice of Default suspends imposition of the proposed sanction. 18.10.2 HMO and TDH HHSC must attempt to informally resolve the a dispute. If HMO and TDH HHSC are unable to informally resolve the a dispute, HMO must notify the Bureau Chief HPO Manager and Director of Managed Care Medicaid/CHIP Operations that HMO and TDH HHSC cannot agree. The Bureau Chief Director of Medicaid/CHIP Operations will refer the dispute to the Associate Commissioner for Health Care Financing State Medicaid Director who will appoint a committee to review the dispute under TDHHHSC's dispute resolution procedures. The decision of the dispute resolution committee will be TDHHHSC's final administrative decision. 1999 Renewal Contract Tarrant Service Area 150 August 9, 1999 151.