MassHealth Board of Hearings Sample Clauses

MassHealth Board of Hearings a.If on internal Appeal the Contractor does not decide fully in the Enrollee’s favor and the Appeal is regarding a Medicaid covered service, within the relevant timeframe, the Contractor must include information with the internal Appeal decision regarding how to access the Enrollee’s appeal rights through the MassHealth Board of Hearings (BOH). The form and content of the notification used by the Contractor must be approved in advance by EOHHS and CMS.
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MassHealth Board of Hearings. At the point of receiving written notice of the Contractor’s decision to deny, terminate, suspend, or reduce services, the Enrollee may, in addition to an internal Appeal, also request an external review by the MassHealth Board of Hearings (BOH). The BOH will render a final decision within the time limits specified at 130 CMR 610.015(D). Pursuant to 130 CMR 610.016, if an Enrollee elects a Provider to be his or her Appeal Representative, the Provider may request a BOH review of the Contractor’s decision to deny, terminate, suspend, or reduce services.
MassHealth Board of Hearings. At the point of receiving written notice of the Contractor’s decision to deny, terminate, suspend, or reduce services, the Enrollee may, in addition to an internal Appeal, also request an external review by the MassHealth Board of Hearings (BOH).

Related to MassHealth Board of Hearings

  • MILWAUKEE BOARD OF SCHOOL DIRECTORS AUTHORITY It is hereby agreed and declared that this Contract is made expressly subject to the powers granted to said Milwaukee Board of School Directors, by the applicable provisions of Chapter 119 and Sec.

  • Health Care Committee A Health Insurance Committee shall be established and maintained with at least three (3) representatives appointed by the Association and three (3) representatives appointed by the Superintendent. The purpose of the Committee shall be to make recommendations designed to optimize the quality of health care available to District employees and improve cost effectiveness of the health insurance program. Committee members shall review data, work with the District insurance consultant, collaborate on making recommendations for changes in plan design, review bids by insurance companies, and ultimately consider recommending plan changes to their respective constituencies. The Committee is not empowered to unilaterally make changes in health care benefits without ratification by the Association and approval by the Board. The creation of the Committee does not diminish or in any way reduce the Board’s and Association’s rights or responsibilities.

  • Board Hearing At the board hearing, evidence may be presented by the administration and the teacher, as to (a) whether a reduction in force is reasonably necessary and is being made in good faith and for the best interests of the District and (b) whether the recommendation to not renew the specific teacher is being made in good faith under this Reduction in Force Agreement.

  • Behavioral Interventions Committee This committee develops and monitors procedures for using behavioral interventions in accordance with Board policy 7:230, Misconduct by Students with Disabilities, and provides information and recommendations to the Board. At the Board President's discretion, the Parent-Teacher Advisory Committee shall perform the duties assigned to the Behavioral Interventions Committee.

  • School Board Any reference to School Board or District in this Agreement shall mean the District and/or its designated officials.

  • Occupational Health & Safety Committee The parties agree to comply with the Occupational Health and Safety Act and any other federal, provincial or municipal health and safety legislation and regulations. Recognizing its responsibilities under the applicable legislation, the Employer agrees to accept as a member of its Occupational Health and Safety Committee, one representative selected or appointed by the Association from the bargaining unit. Such committee shall identify potential dangers and hazards, institute means of improving health and safety programs and recommend actions to be taken to improve conditions relating to occupational health and safety. Meetings shall be held every third month or more frequently if mutually agreed. The Committee shall maintain minutes of all meetings and make the same available for review.

  • Health & Safety Committee The Employer agrees to establish a Health & Safety Committee for all employees of the company under the auspices of the Occupational Health and Safety Act (OHSA). The Committee shall be made up of an equal number (not less than one each) of non-bargaining unit and bargaining unit persons who have completed their probationary period. The Union has the right to appoint the members representing the bargaining unit. The Committee shall keep minutes of its meetings and post them in the shop. One copy will be forwarded to the Union office.

  • Education Committee (a) The Employer will establish an Education Committee for all employees in the facility, which shall include at least one representative from ONA members.

  • Hospital-Association Committee (a) There shall be a Hospital-Association Committee comprised of representatives of the Hospital, one of whom shall be the Chief Nursing Officer or designate and of the Association, one of whom shall be the Bargaining Unit President or designate. The number of representatives is set out in the Appendix of Local Provisions and the membership of the Committee may be expanded by mutual agreement.

  • National Labor Relations Board Orders No more than one, final unappealable finding of contempt of court by a federal court has been issued against Contractor within the immediately preceding two-year period because of Contractor's failure to comply with an order of a federal court requiring Contractor to comply with an order of the National Labor Relations Board. Contractor swears under penalty of perjury that this representation is true.

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