Complaint decision definition

Complaint decision means a determination of conduct by a public officer or employee made by the board on the complaint of a person or entity.
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Examples of Complaint decision in a sentence

  • The CHC-MCO must abide by the final decision of the PID when a Participant has filed an external appeal of a second level Complaint decision.

  • The PH-MCO must abide by the final decision of the Departments of Health or Insurance (as applicable) when a Member has filed an external appeal of a second level Complaint decision.

  • The CHC-MCO must abide by the final DOH decision when a Participant has filed an external appeal of a second level Complaint decision.

  • If the Enrollee files a written request for Appeal with the STATE pursuant to Minnesota Statutes, Section 256.045, Subdivision 3a before the date of the proposed action in either the HEALTH PLAN’s DTR notice or the HEALTH PLAN’s formal Complaint decision, the HEALTH PLAN may not reduce or terminate the service until the STATE issues a written decision on the Appeal.

  • The PH-MCO must abide by the final decision of the DOH when a Member has filed an external appeal of a second level Complaint decision.