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