Formal Grievance definition

Formal Grievance. Pre-Arbitration Mediation 7 5.8 Formal Grievance: Arbitration 7 ARTICLE 6: Salary Adjustments 8 6.1 Salary Adjustments 8 ARTICLE 7: Salary Administration 8
Formal Grievance means a complaint against a certified school that is submitted on forms provided by the department and completes the review process through the final disposition.
Formal Grievance a written expression of dissatisfaction other than those subject to appeal. Fraud – an intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person. It includes any act that constitutes fraud under applicable Federal or State law. Gift (Marketing) – any promotional item or incentive offered by an MCO to members or potential members. Grievance – an expression of dissatisfaction, either in writing (formal) or orally (informal), regarding any aspect of service delivery provided or paid for by the MCO, other than those MCO actions that are subject to appeal. The term grievance also refers to the overall system that includes grievances and appeals handled at the MCO level and access to the State fair hearing process. Grievance Process – the procedure for addressing an enrollee’s grievances and complaints. Grievance System – includes a grievance process, an appeals process, and access to the State’s fair hearing system. Informal Grievance – an oral expression of dissatisfaction other than those subject to appeal. Information Security Plan – a written MCO compliance plan with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and The Health Information Technology for Economic and Clinical Health Act (HITECH Act). Health Home - a designated provider (including provider that operates in coordination with a team of health care professionals) or a health team selected by an eligible individual to provide health home services as defined in Section 1945 of the Social Security Act. Chronic condition health homes are available for eligible individuals with certain chronic conditions. West Virginia’s requirements for health homes are defined in the Medicaid State Plan. HEDIS – the Health Plan Employer Data and Information Set developed, sponsored and maintained by NCQA. HEDIS is a set of standardized performance measures designed to reliably compare the performance of managed care health plans. Key Personnel – the MCO’s Chief Executive Officer, Department Managers, and other staff specifically named in the application for certification. Liquidated Damagesreasonable estimates of the Department’s projected financial loss and damage resulting from the MCO’s non-performance.

Examples of Formal Grievance in a sentence

  • If the problem cannot be resolved in this manner, you still have the right to submit a written request for the complaint to be reviewed through the Formal Grievance Procedure, as outlined below.

  • It is not necessary to pursue Informal Resolution first in order to pursue a Formal Grievance Process, and any party participating in Informal Resolution can stop the process at any time and begin or resume the Formal Grievance Process.

  • When the parties cannot agree on all terms of resolution, the Formal Grievance Process will resume at the same point where it was paused.

  • The Title IX Coordinator will provide written notice of the investigation and allegations (the “NOIA”) to the Respondent upon commencement of the Formal Grievance Process.

  • The Formal Grievance Process relies on a pool of administrators (“the Pool”) to carry out the process.


More Definitions of Formal Grievance

Formal Grievance means the filing of a written grievance which results in the use of the University Grievance Committee to resolve the dispute.
Formal Grievance as used in this Article refers to a written allegation by an employee that there has been a violation, misapplication, or misinterpretation of a specific term(s) of this Agreement, existing City Rule, Regulation or policy.
Formal Grievance is a written statement of a grievance filed with the appropriate supervisor after an informal meeting and within the time limits specified within this Agreement.
Formal Grievance means filing Form 11PE011E, OKDHS Grievance Form, with supporting documentary evidence, with the OKDHS grievance manager.
Formal Grievance means the written filing of a complaint which results in the use of a Grievance Panel to resolve the dispute
Formal Grievance means that all requests and decisions shall be in writing.
Formal Grievance means a grievance supported by that state a specific factual basis for the complaint that, if proven, would establish that an action attributable to the administration deprived the individual employee of a right arising under a specific term or provision of this agreement. A faculty unit member may not rely upon mere conclusions, general allegations and speculative statements to establish a factual ground for the claim that a provision has been misinterpreted, misapplied, or violated. Faculty unit members must cite specific facts and circumstances known to them first hand or to another first hand who is willing to testify to their existence or established through official governmental publications or other published documents whose authenticity and reliability cannot reasonably be doubted, together with such factual inferences as may be drawn from such facts. The term “grievance” does not include claims for damages or other general relief based upon allegations that sound in tort, claims for damages or other contract relief available solely through the judiciary, or claims alleging that provisions of this agreement, or incorporated statutes, rules or policies, violate constitutional or legal restrictions unrelated to terms and conditions of employment.