Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: Deny or limit a member’s request for a service ; Terminate, reduce, or suspend any currently authorized service; or Deny payment for services.
Appears in 2 contracts
Samples: www.dhs.wisconsin.gov, www.dhs.wisconsin.gov
Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: Deny or limit a member’s request for a service ; Terminate, reduce, or suspend any currently authorized service; or Deny payment for services.:
Appears in 1 contract
Samples: www.dhs.wisconsin.gov
Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: Deny or limit a member’s request for a service service; Terminate, reduce, or suspend any currently authorized service; or Deny payment for services.
Appears in 1 contract
Samples: www.dhs.wisconsin.gov
Notice of Adverse Benefit Determination. In accordance with Article XI, Section D.1XI.D.1, the PO shall provide written notice of an adverse benefit determination to the member when a decision is made to: Deny or limit a member’s request for a service ; Terminate, reduce, or suspend any currently authorized service; or Deny payment for services.:
Appears in 1 contract
Samples: www.dhs.wisconsin.gov