Common use of Timeframes for Responding to Requests for Information Clause in Contracts

Timeframes for Responding to Requests for Information. Unless otherwise stated in this Agreement or in the request for information from ODM, the MCO must respond to requests for information within the following timeframes: Within 24 hours for requests regarding member health, safety, and welfare; Within two business days for requests regarding member access to services; Within five business days for requests received through HealthTrack, including provider or member billing inquiries or constituent inquiries received through external business relations; and Ten business days for requests regarding policy research queries, coding, rate change inquiries, and all other requests for information. Prior to the expiration of the allotted timeframe, the MCO may request an extension of the timeframe for responding to a request for information from ODM when necessary. Requests for extension are subject to the approval by ODM.

Timeframes for Responding to Requests for Information. 1. Unless otherwise stated in this Agreement or in the request for information from ODM, the MCO must respond to requests for information within the following timeframes: Within 24 hours for requests regarding member health, safety, and welfare; Within two business days for requests regarding member access to services; Within five business days for requests received through HealthTrack, including provider or member billing inquiries or constituent inquiries received through external business relations; and Ten business days for requests regarding policy research queries, coding, rate change inquiries, and all other requests for information. 2. Prior to the expiration of the allotted timeframe, the MCO may request an extension of the timeframe for responding to a request for information from ODM when necessary. Requests for extension are subject to the approval by ODM.