Denials. i. The CONTRACTOR shall clearly document in English or Spanish, as appropriate, on a form agreed to by HSD, and communicate in writing the reasons for each denial. A “denial” is defined as a refusal by the CONTRACTOR to authorize a service requested or recommended by the member’s health care provider.
Appears in 1 contract
Sources: Medicaid Managed Care Services Agreement (Molina Healthcare Inc)
Denials. i. The CONTRACTOR shall shall:
i. clearly document in English or Spanish, as appropriate, on a form agreed to by HSD/MAD, and communicate in writing the reasons for each denialdenial to the requesting provider and the member. A “denial” is defined as a refusal by the CONTRACTOR to authorize a service requested or recommended by the member’s health care provider.;
Appears in 1 contract
Sources: Medicaid Managed Care Services Agreement (Molina Healthcare Inc)
Denials. i. The CONTRACTOR shall clearly document in English or Spanish, as appropriate, on a form agreed to by HSD, and communicate in writing the reasons for each denial. A “"denial” " is defined as a refusal by the CONTRACTOR to authorize a service requested or recommended by the member’s 's health care provider.
Appears in 1 contract
Sources: Medicaid Managed Care Services Agreement (BHC Physician Services of Kentucky LLC)