Notice of Adverse Action Process. The Contractor shall notify the requesting provider and shall provide written notice to enrolled (on the date of service) members whenever rendering an adverse decision. The contractor has the option to send the enrollee notice as an explanation of benefits statement or as a notice of adverse action. Any statement or notice must be in accordance with the definitions, content of notice, and required timeframes listed below.
Appears in 5 contracts
Samples: medicaid.ms.gov, medicaid.ms.gov, www.medicaid.ms.gov
