Title 42 cfr section 438.400 b
WebElectronic Code of Federal Regulations (e-CFR) Title 42—Public Health; CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND … WebFeb 28, 2024 · Section 438.400 - Statutory basis, definitions, and applicability (a)Statutory basis. This subpart is based on the following statutory sections: (1) Section 1902 (a) (3) …
Title 42 cfr section 438.400 b
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WebTitle 42 - Public Health Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) Subchapter C - … WebOct 3, 2024 · CFR Title 42. Public Health 42 CFR Section 438.400. Read the code on FindLaw
WebFeb 7, 2024 · 2016 FINAL RULE 42 CFR 438 Service Authorization and Appeals Frequently Asked Questions for Mainstream Medicaid Managed Care (MMC), Health and Recovery Plans (HARP), and HIV Special Needs Plans (HIV SNP) Q&As also available in Portable Document Format (PDF) Revised: 2/7/2024 I. General Questions: 1. WebCFR > Title 42 > Chapter IV > Subchapter C > Part 438 > Subpart F > § 438.400 42 CFR 438.400 – Statutory basis, definitions, and applicability ... Section 1932(b)(4) of the Act requires Medicaid managed care organizations to establish internal grievance procedures under which Medicaid enrollees, or providers acting on their behalf, may ...
WebTitle 42 - Public Health Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) Subchapter C - MEDICAL ASSISTANCE PROGRAMS Part 438 - MANAGED CARE Subpart F - Grievance System Section 438.400 - Statutory basis and definitions. Date October 1, 2011 Webbenefit determinations. 42 CFR §438.400(b) defines an appeal as “a review by an MCO, PIHP, or PAHP of an adverse benefit determination.” 42 CFR §438.400(b) defines grievance as “an expression of dissatisfaction about any matter other than an adverse benefit determination. ” 42 CFR 438.402(c)( 1)(i)
http://federal.elaws.us/cfr/title42.part438
Web282 §438.406 42 CFR Ch. IV (10–1–15 Edition) §438.406 Handling of grievances and appeals. (a) General requirements. In handling grievances and appeals, each MCO and … ccleaner 专业版下载WebJun 11, 2024 · Until that applicability date, States, MCOs, PIHPs, and PAHPs are required to continue to comply with subpart F contained in the 42 CFR parts 430 to 481, edition revised as of October 1, 2015. (2) Provisions in this part affecting applicable integrated plans, as defined in §422.561 of this chapter, are applicable no later than January 1, 2024. bus tours to alaskabus tours tampaWeb§ 438.400 Statutory basis, definitions, and applicability. (a) Statutory basis. This subpart is based on the following statutory sections: (1) Section 1902 (a) (3) of the Act requires that … ccleaner 注册码Web(1) The enrollee withdraws the appeal or request for state fair hearing. (2) The enrollee fails to request a state fair hearing and continuation of benefits within 10 calendar days after the MCO, PIHP, or PAHP sends the notice of an adverse resolution to the enrollee's appeal under § 438.408 (d) (2). bus tours to alaska from texasWebJun 14, 2002 · Title 42 PART 438 SUBPART f. CFR › Title 42 › Volume 4 › Chapter IV › Subchapter C › Part 438 › Subpart f. Subpart F - Grievance and Appeal System. Source: 81 FR 27853, May 6, 2016, unless otherwise noted. 42 U.S.C. 1302. Source: 67 FR 41095, June 14, 2002, unless otherwise noted. bus tour stars homes nashville tnWeb§ 438.400 Statutory basis, definitions, and applicability. § 438.402 General requirements. § 438.404 Timely and adequate notice of adverse benefit determination. § 438.406 Handling of grievances and appeals. § 438.408 Resolution and notification: Grievances and appeals. § 438.410 Expedited resolution of appeals. ccleaner для win 10