Sanctions for Due Process Noncompliance. The STATE may impose a sanction of up to $15,000 for each determination of a deficiency by MDH, during the triennial Quality Assurance Exam or if a deficiency persists at the time of the MDH Mid-cycle Review, for violations of Enrollee rights or due process. For the purposes of this section, violation of due process includes but is not limited to: Failure to provide an Enrollee under this Contract with timely notice of disposition of a Grievance and/or timely written notice of the resolution of a Standard or Expedited Appeal; Failure to provide an Enrollee under this Contract with a timely DTR (Notice of Action) for denial of a Standard or Expedited Service Authorization.
Appears in 5 contracts
Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services
Sanctions for Due Process Noncompliance. The STATE may impose a sanction of up to $15,000 for each determination of a deficiency by MDH, during the triennial Quality Assurance Exam or if a deficiency persists at the time of the MDH Mid-cycle Review, for violations of Enrollee rights or due process. For the purposes of this section, violation of due process includes but is not limited to: :
(1) Failure to provide an Enrollee under this Contract with timely notice of disposition of a Grievance and/or timely written notice of the resolution of a Standard or Expedited Appeal; ;
(2) Failure to provide an Enrollee under this Contract with a timely DTR (Notice of Action) for denial of a Standard or Expedited Service Authorization.
Appears in 2 contracts
Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services
Sanctions for Due Process Noncompliance. The STATE may impose a sanction of up to to $15,000 for each determination of a deficiency by MDH, MDH during the triennial Quality Assurance Exam or if a deficiency persists at the time of the MDH Mid-cycle Review, for violations of Enrollee rights or due process. For the purposes of this section, violation of due process includes but is not limited to: :
(1) Failure to provide an Enrollee under this Contract with timely notice of disposition resolution of a Grievance and/or timely written notice of the resolution of a Standard or Expedited Appeal; ;
(2) Failure to provide an Enrollee under this Contract with a timely DTR (Notice of Action) for denial of a Standard or Expedited Service Authorization.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Sanctions for Due Process Noncompliance. The STATE may impose a sanction of up to to $15,000 for each determination of a deficiency by MDH, during the triennial Quality Assurance Exam or if a deficiency persists at the time of the MDH Mid-cycle Review, for violations of Enrollee rights or due process. For the purposes of this section, violation of due process includes but is not limited to: :
(1) Failure to provide an Enrollee under this Contract with timely notice of disposition resolution of a Grievance and/or timely written notice of the resolution of a Standard or Expedited Appeal; .
(2) Failure to provide an Enrollee under this Contract with a timely DTR (Notice of Action) for denial of a Standard or Expedited Service Authorization.
Appears in 2 contracts
Samples: Contract for Special Needs Basiccare Program Services, Contract for Special Needs Basiccare Program Services
