405 Ind. Admin. Code 1-1.6-6

Current through January 8, 2025
Section 405 IAC 1-1.6-6 - Record keeping and reporting requirements

Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-15

Sec. 6.

The MCO shall maintain a log of all written informal provider objections to determinations and formal provider appeals involving claims. The logged information shall include the:

(1) provider's name;
(2) date of objection;
(3) nature of the objection; and
(4) disposition.

The MCO shall submit quarterly reports to the office regarding the number and type of provider objections and appeals.

405 IAC 1-1.6-6

Office of the Secretary of Family and Social Services; 405 IAC 1-1.6-6; filed Nov 10, 2004, 3:15 p.m.: 28 IR 817; readopted filed Sep 19, 2007, 12:16p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA
Readopted filed 11/13/2019, 11:54 a.m.: 20191211-IR-405190487RFA
Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA