Common use of Expedited Appeal Process Clause in Contracts

Expedited Appeal Process. 13.4.1 The Contractor must establish and maintain an expedited appeal review process for appeals when the Contractor determines or a provider indicates that taking the time for a standard resolution could seriously jeopardize the Enrollee’s life, physical or mental health or ability to attain, maintain, or regain maximum function (42 C.F.R. § 438.410(a)).

Expedited Appeal Process. 13.4.1 10.4.1. The Contractor must shall establish and maintain an expedited appeal review process for appeals when the Contractor determines determines, for a request from the enrollee, or a the provider indicates indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, that taking the time for a standard resolution could seriously jeopardize the Enrolleeenrollee’s life, physical life or mental health or ability to attain, maintain, or regain maximum function (42 C.F.R. § 438.410(a))function.

Expedited Appeal Process. 13.4.1 13.4.1. The Contractor must shall establish and maintain an expedited appeal review process for appeals when the Contractor determines determines, for a request from the enrollee, or a the provider indicates indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, that taking the time for a standard resolution could seriously jeopardize the Enrolleeenrollee’s life, physical life or mental health or ability to attain, maintain, or regain maximum function (42 C.F.R. § CFR 438.410(a)).

Expedited Appeal Process. 13.4.1 10.4.1 The Contractor must shall establish and maintain an expedited appeal review process for appeals when the Contractor determines determines, for a request from the enrollee, or a the provider indicates indicates, in making the request on the enrollee’s behalf or supporting the enrollee’s request, that taking the time for a standard resolution could seriously jeopardize the Enrolleeenrollee’s life, physical life or mental health or ability to attain, maintain, or regain maximum function (42 C.F.R. § 438.410(a))function.