Timeframes for Responding to Requests for Information Clause Samples
Timeframes for Responding to Requests for Information. Unless otherwise stated in this Agreement or in the request for information from ODM, the MCO must respond to requests for information within the following timeframes:
Timeframes for Responding to Requests for Information. Unless otherwise stated in this Agreement or in the request for information from ODM, the MCO must respond to requests for information within the following timeframes: Within 24 hours for requests regarding member health, safety, and welfare; Within two business days for requests regarding member access to services; Within five business days for requests received through HealthTrack, including provider or member billing inquiries or constituent inquiries received through external business relations; and Ten business days for requests regarding policy research queries, coding, rate change inquiries, and all other requests for information. Prior to the expiration of the allotted timeframe, the MCO may request an extension of the timeframe for responding to a request for information from ODM when necessary. Requests for extension are subject to the approval by ODM.
Timeframes for Responding to Requests for Information. 1. Unless otherwise stated in this Agreement or in the request for information from ODM, the OhioRISE Plan must respond to requests for information within the following timeframes: Within 24 hours for requests for information regarding OhioRISE Program eligibility, assessment, and enrollment processes; Within 24 hours for youth referred from mobile crisis and stabilization services providers and requests regarding member health, safety, and welfare; Within 24 hours for requests regarding member access to services; Within five business days for requests regarding members received through HealthTrack, including provider or member billing inquiries, or constituent inquiries received through external business relations; and Ten business days for requests regarding policy research queries, coding, rate change inquiries, and all other requests for information unless otherwise stated in the request.
2. Prior to the expiration of the allotted timeframe, the OhioRISE Plan may request an extension of the timeframe for responding to a request for information from ODM when necessary. Requests for extension are subject to the approval by ODM.
Timeframes for Responding to Requests for Information. 1. Timeframes for responding to requests for information unless otherwise stated in this Agreement or in the request for information from ODM, the OhioRISE Plan must respond to requests for information within the following timeframes (included examples are non-exhaustive):
a. Within 24 hours for requests for information regarding OhioRISE Program eligibility, assessment, member access to services, and enrollment processes;
b. Within the same day or 24 hours, as identified by ODM, for requests regarding member health, safety, and welfare;
c. Within 3-5 business days for inquiries related to state hearings, legislative, and non-urgent information seeking requests;
d. Within five business days for requests regarding members received through HealthTrack, including provider or member billing inquiries, or constituent inquiries received through external business relations; and
e. Ten business days for requests regarding policy research queries, coding, rate change inquiries, and all other requests for information unless otherwise stated in the request.
2. Prior to the expiration of the allotted timeframe, the OhioRISE Plan may request an extension of the timeframe for responding to a request for information from ODM when necessary. Requests for extension are subject to the approval by ODM.