Grievance appeals. An employee may appeal his/her dismissal, suspension, or other punitive discipline through the grievance procedure, except that a probationary employee may be separated from service without recourse to the grievance procedure.
Grievance appeals. SCDHHS shall have the right to approve, disapprove or require modification of all grievance procedures submitted with this Contract. SCDHHS requires the Contractor to meet and/or exceed the Medicaid MHN Program grievance standards as outlined in §9. In the event of unresolvable differences between the member and the Contractor, XXXXXX will receive and review all second level grievances for resolution. SCDHHS or its designee shall monitor the Contractor's internal grievance procedures and request corrective action as deemed appropriate.
Grievance appeals. Disputes involving the interpretation, application, or enforcement of the express terms of this article shall be filed within 14 calendar days after receipt of the notice of layoff directly at Step 2 (Section 5.10) of the Article V, Grievance and Arbitration Procedure, of this agreement.
Grievance appeals. If You are not satisfied with the resolution of Your Grievance, You or Your designee may file an Appeal by phone at the number on Your ID card or in writing. However, Xxxxxx Appeals may be filed by phone. You have up to 60 business days from receipt of the Grievance determination to file an Appeal. When We receive Your Appeal, We will mail an acknowledgment letter within 15 business days. The acknowledgement letter will include the name, address, and telephone number of the person handling Your Appeal and indicate what additional information, if any, must be provided. One or more qualified personnel at a higher level than the personnel that rendered the Grievance determination will review it, or if it is a clinical matter, a clinical peer reviewer will look into it. We will decide the Appeal and notify You in writing within the following timeframes:
Grievance appeals. Failure of an employee or the Association to act on any grievance within the time limits will act as a bar to any further appeal, and the employer's failure to give a decision within the time limits shall permit the grievance to proceed to the next step. The time limits, however, may be extended by mutual agreement.
Grievance appeals. If you are not satisfied with the resolution of Your Grievance, You or Your designee my file an Appeal by phone or in writing. You have up to 60 business days from receipt of the Grievance determination to file an Appeal. When we received Your Appeal, We will mail an acknowledgement letter within 15 business days. The acknowledgement letter will include the name, address, and telephone number of the person handling Your Appeal and indicate what additional information, if any, must be provided. One or more qualified personnel at a higher level than the personnel that rendered the Grievance determination will review it, or if it is a clinical matter, a clinical peer reviewer will look into it. We will decide the Appeal and notify You in writing within the following time frames: Expedited/Urgent Grievances: Within 48 hours of receipt of all necessary information All Other Grievances: Within 30 calendar days of receipt of all necessary information
Grievance appeals. If You are not satisfied with the resolution of Your Grievance, You or Your designee may file an Appeal in writing. You have up to 60 business days from receipt of the Grievance determination to file an Appeal. When We receive Your Appeal, We will mail an acknowledgment letter within 15 business days. The acknowledgement letter will include the name, address, and telephone number of the person handling Your Appeal and indicate what additional information, if any, must be provided. One or more qualified personnel at a higher level than the personnel that rendered the Grievance determination will review it, or if it is a clinical matter, a clinical peer reviewer will look into it. We will decide the Appeal and notify You in writing within the following timeframes: Expedited/Urgent Grievances: The earlier of two (2) business days of receipt of all necessary information or 72 hours of receipt of Your Appeal. Pre-Service Grievances: (A request for a service or treatment that has not yet been provided.) 15 calendar days of receipt of Your Appeal. Post-Service Grievances: (A claim for a service or a treatment that has already been provided.) 30 calendar days of receipt of Your Appeal. All Other Grievances: (That are not in relation To a claim or request for a service or treatment.) 30 business days of receipt of all necessary information to make a determination.
Grievance appeals. When an employee disputes the accuracy of his/her 42 official job or position description as compared to the work actually performed, he/she 43 may dispute the accuracy of their official job or position description through the negotiated 44 Grievance Procedure. If the matter is an appeal of a classification of a position excluded 45 from the grievance procedure, the employee may pursue the matter through the 46 Classification Appeals Procedure. 47
Grievance appeals. In the case of a grievance appeal, the Arbitrator shall not have the power to alter, modify, amend or make any decision inconsistent with the terms of this Agreement.
Grievance appeals reports must be provided to ETF’s Ombudsperson Services as they are being provided prior to the 2018 Plan Year; reports should be rolled up and summarized annually in accordance with Exhibit 1, Section 115 9) c). The following reports at minimum will be provided to the Department by the Contractor quarterly: 1. Rebate, AWP Discount and Dispensing Fee Guarantees (not provided prior to the 2018 plan year). • Separate reports must be provided for Commercial and Medicare Part D coverage. • Reports must also be rolled up quarterly and annually. • Data to be included in the reports and format will be developed and agreed to by both parties 2.
