Notice of Action definition

Notice of Action shall have the meaning set forth in Section 7.1C.

Notice of Action has the meaning set forth in (S) 8(b) below.

Notice of Action means written notification to an Enrollee and written or verbal notification to a Provider when applicable, of an Action that will be taken by the Contractor. Notice of Appeal Resolution means written notification to an Enrollee, and a Provider when applicable, of the Contractor’s resolution of an Appeal. Other Disclosing Entity means any other Medicaid disclosing entity and any entity that does not participate in Medicaid but is required to disclose certain ownership and control information because of participation in any of the programs established under Title V, XVIII, or XX of the Social Security Act. This includes:

Examples of Notice of Action in a sentence

• The MCP shall maintain a written record that the criteria were met, or if not met, the MCP shall maintain documentation that a Notice of Action was issued in accordance with OAC rule 5160-26-08.4. In accordance with OAC rule 5160-3-14, the preadmission screening and resident review (PASRR) process must be completed before a level of care determination can be issued.

• The Contractor shall provide a Notice of Action to the Aggrieved Party at the time the Contractor determines the time frame for resolving the Appeal or Grievance will not be met.

• The Contractor is required send out a Notice of Action to the Enrollee and the Provider on the day that the time frame expires.

• A means Notice of Action and refers to a Medi-Cal requirement that informs the beneficiary that he/she is not entitled to any specialty mental health service.

• The Contractor shall provide a Notice of Action to the Enrollee at the time either the Enrollee or provider informs the Contractor that the provider failed to meet the performance standards for offering face-to-face appointment waiting times found in Article 10.4.

More Definitions of Notice of Action

Notice of Action means a Denial, Termination, or Reduction of Service Notice (DTR) or other Action as defined in section 2.3.

Notice of Action means a formal communication of any action, as defined above and consistent with 42 CFR 438.404 and 438.10.

Notice of Action has the meaning set forth in Section 11.02(ii) below.

Notice of Action means a form provided to a household informing them of an action which has been or will be taken concerning the household's eligibility status or level of benefits.

Notice of Action means the notice issued by MAD, the MCO or their designees of their intent to take an adverse action against an eligible recipient or a member in the form an adverse determination is made with regard to the preadmission or annual resident review requirements.

Notice of Action. The notice described in Section 14.4.3 of this Contract, in which the Contractor notifies both the Enrollee and the Provider of an Action.

Notice of Action means a written notice that must be provided to Individuals to inform them that a requested Contracted Service was denied or received only a limited authorization based on medical necessity. Office of Inspector General (OIG)