Subpart F. Subpart F—Grievance and Appeal System
- § 438.400 - Statutory basis, definitions, and applicability.
- § 438.402 - General requirements.
- § 438.404 - Timely and adequate notice of adverse benefit determination.
- § 438.406 - Handling of grievances and appeals.
- § 438.408 - Resolution and notification: Grievances and appeals.
- § 438.410 - Expedited resolution of appeals.
- § 438.414 - Information about the grievance and appeal system to providers and subcontractors.
- § 438.416 - Recordkeeping requirements.
- § 438.420 - Continuation of benefits while the MCO, PIHP, or PAHP appeal and the State fair hearing are pending.
- § 438.424 - Effectuation of reversed appeal resolutions.