Guidelines for Complaint and Appeal Program Clause Samples
The Guidelines for Complaint and Appeal Program clause establishes the procedures and standards for handling complaints and appeals within an organization or contractual relationship. It typically outlines the steps that individuals must follow to submit a complaint or appeal, the timelines for response, and the responsibilities of the parties involved in investigating and resolving issues. By providing a clear and structured process, this clause ensures that grievances are addressed fairly and efficiently, helping to resolve disputes and maintain trust between the parties.
Guidelines for Complaint and Appeal Program a) The Contractor's complaint and appeal program will comply with the Managed Care Complaint and Appeals Program Guidelines described in Appendix F, which is hereby made a part of this Agreement as if set forth fully herein. The SDOH and LDSS may modify Appendix F of this Agreement upon sixty (60) days prior written notice to the Contractor and such modifications shall become binding and incorporated into this Agreement without further action by the parties.
b) The Contractor's complaint and appeal procedures shall be approved by the SDOH and LDSS and kept on file with the Contractor, LDSS and SDOH.
c) The Contractor shall not modify its complaint and appeals procedure without the prior written approval of SDOH, in consultation with LDSS, and shall provide LDSS and SDOH with a copy of the approved modification within fifteen (15) days after its approval.
Guidelines for Complaint and Appeal Program a) The Contractor's complaint and appeal program will comply with the Family Health Plus Complaint and Appeals Program Guidelines described in Appendix F, a copy of which is annexed hereto and incorporated by reference into the body of this Agreement as if fully set forth herein. The SDOH may modify Appendix F of this Agreement upon sixty (60) days prior written notice to the Contractor and such modifications shall become binding and incorporated into this Agreement without further action by the parties. FHPlus - Section 14 (COMPLAINT AND APPEAL PROCEDURE) October 1, 2001 14-1
b) The Contractor's complaint and appeal procedures shall be approved by the SDOH and kept on file with the Contractor and SDOH.
c) The Contractor shall not modify its complaint and appeals procedure without the prior written approval of SDOH and shall provide SDOH with a copy of the approved modifications within fifteen (15) days after its approval.