Timing of Notice Sample Clauses
Timing of Notice a. The Contractor shall mail the notice within the following timeframes:
i. At least 10 days before the date of the action, when the action is a termination, suspension, or reduction of previously authorized Medicaid-covered services.
ii. For denial of payment, at the time of any action affecting the claim.
iii. As expeditiously, as the beneficiary’s condition requires within state-established timeframes that shall not exceed 14 calendar days following receipt of the request for service, for standard authorization decisions that deny or limit services.
1. The Contractor shall be allowed to extend the 14 calendar day notice of adverse benefit determination timeframe for standard authorization decisions that deny or limit services up to 14 additional calendar days if the beneficiary or the provider requests an extension.
2. The Contractor shall be allowed to extend the 14 calendar day notice of adverse benefit determination timeframe for standard authorization decisions that deny or limit services up to 14 additional calendar days if the Contractor justifies a need (to the Department, upon request) for additional information and shows how the extension is in the beneficiary’s best interest. Consistent with 42 CFR §438.210(d)(1)(ii), the Contractor shall:
a. Give the beneficiary written notice of the reason for the decision to extend the timeframe and inform the beneficiary of the right to file a grievance if he or she disagrees with that decision; and
b. Issue and carry out its determination as expeditiously as the beneficiary’s health condition requires and no later than the date the extension expires.
iv. For service authorization decisions not reached within the timeframes specified in 42 CFR §438.210(d) (which constitutes a denial and is thus an adverse benefit determination), on the date that the timeframes expire.
v. For expedited service authorization decisions, within the timeframes specified in § 438.210(d)(2).
b. The Contractor shall be allowed to mail the notice of adverse benefit determination as few as five days prior to the date of action if the Contractor has facts indicating that action should be taken because of probable fraud by the beneficiary, and the facts have been verified, if possible, through secondary sources.
c. The Contractor shall mail the notice of adverse benefit determination by the date of the action when any of the following occur:
i. The recipient has died.
ii. The beneficiary submits a signed written statement requesting s...
Timing of Notice. The written notice must be given to prospective beneficiaries before they enroll in any HUD program or activity. When the nature of the program or activity or exigent circumstances make it impracticable to provide the written notice in advance, the organization must provide written notice to beneficiaries of their protections at the earliest available opportunity.
Timing of Notice. Notice or communication delivered or transmitted as provided above shall be deemed to have been given and received on the day it is transmitted (if by e-mail or facsimile) or received (if by courier or hand delivery), provided that it is transmitted or received on a Business Day prior to 5:00 p.m. local time in the place of receipt. Otherwise such notice shall be deemed to have been given and received on the next following Business Day.
Timing of Notice. Each Additional Advance Notice shall be submitted to and received by the Administrative Agent prior to 9:00 a.m. (New York time) (A) at least three (3) Business Days prior to the specified borrowing date, in the case of Eurodollar Loans; and (B) at least two (2) Business Days prior to the specified borrowing date, in the case of Base Rate Loans. Notwithstanding the foregoing, in the case of the Additional Advance Notice delivered in connection with the IPO Closing Date Advance, the time of day by which such notice shall be delivered shall be prior to 12:00 noon (California time).
Timing of Notice. Each Borrowing Notice shall be submitted to and received by the Agent prior to 9:00 a.m. (California time) (a) at least three (3) Business Days prior to the specified borrowing date, in the case of LIBOR Loans; and (b) at least two (2) Business Days prior to the specified borrowing date, in the case of Base Rate Loans.
Timing of Notice. The Change of Control Notice shall be mailed by the Company to all Holders at their last registered address no later than fifteen (15) Business Days prior to the Change of Control Date.
Timing of Notice. Each Notice of Conversion/Continuation shall be submitted to and received by the Agent prior to 9:00 a.m. (California time): (A) at least three (3) Business Days prior to the Pricing Conversion Date of any outstanding Loan to be converted into or continued as a LIBOR Loan; and (B) at least one (1) Business Day prior to the Pricing Conversion Date of any outstanding Loan to be converted into or continued as a Base Rate Loan.
Timing of Notice. Within seven (7) days after entry of the Preliminary Approval Order, Defendants shall provide the Settlement Class List to the Settlement Administrator subject to Settlement Administrator signing any Business Associate Agreement requested by Defendants. Within thirty (30) days after entry of the Preliminary Approval Order, the Settlement Administrator shall disseminate the Short Form Notice to Settlement Class Members for whom it has a valid email address or mailing address. The Settlement Administrator shall make the Long Form Notice and Claim Form available to Settlement Class Members on the Settlement Website.
Timing of Notice. The Provider must notify Member of BCBSM’s decision to terminate Covered Services no later than two (2) days before the proposed end of the services. If Member’s services are expected to be fewer than two (2) days in duration, the Provider should notify Member at the time of admission to the Provider. If, in a non-institutional setting, the span of time between services exceeds two (2) days, the notice should be given no later than the next to last time services are furnished.
Timing of Notice. This written no- xxxx must be given to beneficiaries prior to the time they enroll in the program or receive services from such programs. When the nature of the serv- ice provided or exigent circumstances make it impracticable to provide such written notice in advance of the actual service, DOL social service providers must advise beneficiaries of their pro- tections at the earliest available op- portunity.