Standard Time Frame. The Integrated Administrative Hearing Office shall conduct a phone or in-person hearing and render a decision as expeditiously as the member’s condition requires, but always within seven (7) calendar days of receipt of auto-forwarded appeal for Medicaid drug coverage matters and for all other matters within ninety (90) calendar days from the date the Member requests an appeal with the participating plan. Cases involving appeals for Medicare Part B drugs will be resolved in a timeframe consistent with the timeframe employed by the Medicare Independent Review Entity for those items. Continuances or adjournments requested by the appellant and granted by the IAHO upon a finding of good cause do not count towards this time frame.
Standard Time Frame. OAH shall conduct a hearing and render a decision as expeditiously as the member’s condition requires, but always within ninety (90) calendar days after the date the Member requests an appeal with the participating plan, excluding the days between the date the adverse appeal decision is issued and the date the adverse appeal decision is auto-forwarded to OAH in accordance with
Standard Time Frame. The Integrated Administrative Hearing Office shall conduct a phone or in- person hearingand render a decision as expeditiously as the Participant’s condition requires, but always within seven (7) calendar days of receipt of auto-forwarded Appeal for Medicaid drug coverage matters and for all other matters within ninety (90) calendar days from the date the Participant requests an appeal with the FIDA Plan.
