Level Two Appeal. If you are dissatisfied with our level one appeal decision, you may request a second review. To initiate a level two appeal, follow the same process required for a level one appeal, except that such request must be submitted within sixty (60) days from your receipt of a Level One Appeal decision. Requests for a second review will be acknowledged in writing within ten (10) business days, noting that we have received your request. Post-service requests will be completed within thirty (30) calendar days, while most pre- service requests will be completed within fifteen (15) calendar days. If more time or information is needed to make the determination, we will notify you in writing to request an extension of up to fifteen (15) calendar days and to specify any additional information needed to complete the review. You will be notified in writing of the decision. We will respond in writing with a decision as soon as possible in accordance to the medical needs of the case, not to exceed 72 hours in the case of appeals from determination regarding urgent or emergency care, an admission, availability of care, continued stay, health care services for which the claimant received emergency services but has not been discharged from a facility.
Level Two Appeal. A. If the unit member initiating the grievance and/or the ETA is not satisfied with the written decision at the conclusion of Level One, a written appeal of the decision at Level One may be filed with the Superintendent within ten (10) school days after the unit member has been served with such written decision. Copies of the written decision at Level One shall be submitted with the appeal.
Level Two Appeal. If the appeal is not resolved at the Level One Appeal meeting, and it involves a major disciplinary action as defined in Subsection 12.4.3, the appellant may appeal the decision of the City Manager to the City Council through a Hearing Officer. Within 15 Workdays of service of the City Manager's Decision on all parties, the appellant may appeal the decision of the City Manager by filing a written appeal with the Personnel Officer. Failure to file an appeal within this timeframe waives any further right to appeal and the City Manager's decision shall be final.
Level Two Appeal. The Appeals Subcommittee of the Steering and Advisory Committee for Children with Special Health Care Needs and HUSKY Plus Physical (SASH) for HPP has three members, one each from: · The Department of Social Services (DSS) · The Department of Public Health (DPH) and · The Connecticut Children’s Medical Center No one directly involved in the decision being appealed will be a member of this subcommittee. The Appeals Manager is not a member of this subcommittee but will attend to provide needed information. A letter will be sent to the parent or provider that gives the time and date of the Appeals Subcommittee meeting. The meeting will be scheduled to occur within ten business days of receipt of the written appeal. The parent or provider may reschedule this meeting, for any reason, once. However, the Appeals Committee meeting must occur within 25 business days of the receipt of the appeal. The parent or provider may bring support persons to the Appeals Subcommittee meeting, including legal counsel, a person with special knowledge or training with respect to the problems of the enrollee, and one or two individuals for support. In the Appeals Subcommittee, the Appeals Manager will present the appeal; along with any documents involved in the initial decision. The Appeals Manager will also present a summary of the efforts to this point to resolve the appeal. The parent, provider or accompanying support persons may also present arguments and documents, which support the appeal. Once all appeal arguments are completed, the Appeals Subcommittee will either make a decision regarding the appeal, or if necessary, continue the case until more information is obtained or until documents are reviewed. The Appeals Subcommittee must render a final decision no later than 30 days from the date of the Appeals Subcommittee meeting. The Appeals Subcommittee chairperson will send the parent or provider a letter describing the Appeal Committee’s decision no later than 30 days from the date of the Appeals Subcommittee meeting.
