Part 17 - GRIEVANCE PROCEDURES

Section 13.10.17.1 - ISSUING AGENCY
Section 13.10.17.2 - SCOPE
Section 13.10.17.3 - STATUTORY AUTHORITY
Section 13.10.17.4 - DURATION
Section 13.10.17.5 - EFFECTIVE DATE
Section 13.10.17.6 - OBJECTIVE
Section 13.10.17.7 - DEFINITIONS
Section 13.10.17.8 - COMPUTATION OF TIME
Section 13.10.17.9 - GENERAL REQUIREMENTS REGARDING GRIEVANCE PROCEDURES
Section 13.10.17.10 - INFORMATION ABOUT GRIEVANCE PROCEDURES
Section 13.10.17.11 - RESERVED
Section 13.10.17.12 - NOTICE OF INITIAL DETERMINATION
Section 13.10.17.13 - PRELIMINARY DETERMINATION OF GRIEVANCE
Section 13.10.17.14 - INTERNAL FIRST LEVEL REVIEW OF ADVERSE DETERMINATIONS
Section 13.10.17.15 - NOTICE FOLLOWING FIRST LEVEL INTERNAL REVIEW OF ADVERSE DETERMINATIONS
Section 13.10.17.16 - INTERNAL PANEL REVIEW OF ADVERSE DETERMINATIONS
Section 13.10.17.17 - NOTICE OF INTERNAL PANEL REVIEW DECISION
Section 13.10.17.18 - ADDITIONAL REVIEW BY ENTITIES SUBJECT TO THE NEW MEXICO HEALTH CARE PURCHASING ACT
Section 13.10.17.19 - IRO REVIEW OF AN ADVERSE DETERMINATION
Section 13.10.17.20 - QUALIFICATIONS OF IROs AND APPROVAL BY SUPERINTENDENT
Section 13.10.17.21 - INITIATING AN IRO REVIEW OF AN ADVERSE DETERMINATION:
Section 13.10.17.22 - TIMEFRAMES AND PROCESSES FOR IRO REVIEW
Section 13.10.17.23 - THE FINAL DECISION OF THE IRO AND GRIEVANT'S RIGHT TO HEARING AFTER FINAL IRO DECISION
Section 13.10.17.24 - SUPERINTENDENT'S HEARING PROCEDURES FOR ADVERSE DETERMINATIONS
Section 13.10.17.25 - INDEPENDENT CO-HEARING OFFICERS (ICOS)
Section 13.10.17.26 - SUPERINTENDENT'S DECISION ON EXTERNAL REVIEW OF ADVERSE DETERMINATION
Section 13.10.17.27 - INTERNAL REVIEW OF ADMINISTRATIVE GRIEVANCES
Section 13.10.17.28 - RECONSIDERATION OF INTERNAL REVIEW OF ADMINISTRATIVE GRIEVANCE
Section 13.10.17.29 - DECISION OF RECONSIDERATION COMMITTEE
Section 13.10.17.30 - EXTERNAL REVIEW OF ADMINISTRATIVE GRIEVANCES BY SUPERINTENDENT
Section 13.10.17.31 - REQUIREMENTS FOR EXTERNAL REVIEW OF ADMINISTRATIVE GRIEVANCE
Section 13.10.17.32 - ACKNOWLEDGEMENT OF REQUEST FOR EXTERNAL REVIEW OF ADMINISTRATIVE GRIEVANCE BY SUPERINTEDENT
Section 13.10.17.33 - REVIEW OF ADMINISTRATIVE GRIEVANCE BY SUPERINTENDENT
Section 13.10.17.34 - CONFIDENTIALITY OF A GRIEVANT'S RECORDS AND MEDICAL INFORMATION
Section 13.10.17.35 - RECORD OF GRIEVANCES