Article 9 - MEDICAL ASSISTANCE GRIEVANCES, RECONSIDERATION, APPEALS, EXTERNAL INDEPENDENT THIRD-PARTY REVIEW, AND STATE FAIR HEARINGS INVOLVING PROVIDERS
- Section 129-9-1 - Applicability; definitions
- Section 129-9-2 - FFS provider grievance
- Section 129-9-3 - MCE provider grievance
- Section 129-9-4 - Notices to providers rendering services to enrollees; applicability
- Section 129-9-5 - Notices to providers rendering services to beneficiaries of the FFS medical assistance program; notices to providers regarding participation in KMAP; applicability
- Section 129-9-6 - Provider reconsideration
- Section 129-9-7 - Provider appeal
- Section 129-9-8 - Notices to providers rendering covered services to enrollees and FFS beneficiaries; applicability
- Section 129-9-9 - External independent third-party review for providers
- Section 129-9-10 - When a state fair hearing is required
- Section 129-9-11 - Request for state fair hearing; timeliness
- Section 129-9-12 - Evidentiary standard; burden of proof
- Section 129-9-13 - Parties
- Section 129-9-14 - Department's review of decision
- Section 129-9-15 - Provider termination or denial of enrollment
- Section 129-9-17 - Department's summary
- Section 129-9-18 - Motions
- Section 129-9-19 - Prehearing resolution
- Section 129-9-20 - Dismissal; limitations
- Section 129-9-21 - Presiding officer; decisions
- Section 129-9-22 - Rehearing
- Section 129-9-23 - Relief from preliminary or prehearing order
- Section 129-9-24 - Transcripts
- Section 129-9-25 - Review of an initial order or final order