Grievances and Appeals. The MCO’s grievance and appeals procedures must be understandable and accessible to Medicaid enrollees and must comply with federal requirements and West Virginia Statutes 33- 25A-12, and must be approved in writing by the Department (42 CFR 434.32).
Appears in 3 contracts
Samples: Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement
Grievances and Appeals. The MCO’s grievance and appeals procedures must be understandable and accessible to Medicaid enrollees and must comply with federal requirements and West Virginia Statutes 33- 25A-12, and must be approved in writing by the Department (42 CFR 434.32). Each MCO may have only one level of appeal for enrollees.
Appears in 1 contract
Samples: Service Provider Agreement
Grievances and Appeals. The MCO’s grievance and appeals procedures must be understandable and accessible to Medicaid enrollees and must comply with federal requirements and West Virginia Statutes 33- 33-25A-12, and must be approved in writing by the Department (42 CFR 434.32).
Appears in 1 contract
