Grievance Filing. The Contractor must display a link to the electronic Grievance form on the ▇▇▇▇▇▇▇▇.▇▇▇ Internet Web site on the Contractor‘s main Web page, as required by 42 C.F.R. § 422.504(b)(15)(ii). The Contractor must inform Enrollees of the email address, postal address or toll-free telephone number where an Enrollee Grievance may be filed. Authorized representatives may file Grievances on behalf of Enrollees to the extent allowed under applicable federal or State law. Grievance Administration Internal (plan level) Grievance An Enrollee may file an Internal Enrollee Grievance at any time with the One Care Plan or its providers by calling or writing to the Contractor or provider. The Contractor must have a system in place for addressing Enrollee Grievances, including Grievances regarding reasonable accommodations and access to services under the Americans with Disabilities Act. The Contractor must maintain written records of all Grievance activities, and notify CMS and EOHHS of all internal Grievances. The system must meet the following standards: Timely acknowledgement of receipt of each Enrollee Grievance;
Appears in 3 contracts
Sources: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model