Additional Information Available Upon Request 101. 4.4.2 Member and Stakeholder Education and Engagement 103 4.4.3 Member Handbook 104 4.4.4 Member Website 109 4.4.5 Preventive Care Information 111 4.4.6 HIP Member Education 111 4.4.7 Cost and Quality Information 113 4.5 Member and Potential Member Communications Review and Approval 113 4.6 Redetermination Assistance 114 4.7 Member-Provider Communications 115 4.8 Member Rights 115 EXHIBIT 1.A SCOPE OF EXHIBIT 4.9 Member Grievances and Appeals 116 4.9.1 Contractor Grievance and Appeals Policies 118 4.9.2 Inquiry Processing Requirements 119 4.9.3 Grievance Processing Requirements 120 4.9.4 Appeals Processing Requirements 120 4.9.5 External Review by Independent Review Organization 122 4.9.6 State Fair Hearing Process 123 4.9.7 Continuation of Benefits Pending Appeal & Reinstatement of Benefits 123
Additional Information Available Upon Request 101. 4.4.2 Member and Stakeholder Education and Engagement 103 4.4.3 Member Handbook 104 4.4.4 Member Website 109 4.4.5 Preventive Care Information 111 4.4.6 HIP Member Education 111 4.4.7 Cost and Quality Information 113 4.5 Member and Potential Member Communications Review and Approval 113 4.6 Redetermination Assistance 114 4.7 Member-Provider Communications 115 4.8 Member Rights 115 EXHIBIT 1.A SCOPE OF WORK
