Subtitle 10A - COMPLAINT PROCESS FOR ADVERSE DECISIONS OR GRIEVANCES
- Section 15-10A-01 - [Effective Until 1/1/2025] Definitions
- Section 15-10A-01 - [Effective 1/1/2025] Definitions
- Section 15-10A-01.1 - Applicability
- Section 15-10A-02 - [Effective Until 1/1/2025] Internal grievance process
- Section 15-10A-02 - [Effective 1/1/2025] Internal grievance process
- Section 15-10A-03 - Review of grievance decision
- Section 15-10A-04 - [Effective Until 1/1/2025] Decisions - Final decision; notice; hearing; remedies for noncompliance
- Section 15-10A-04 - [Effective 1/1/2025] Decisions - Final decision; notice; hearing; remedies for noncompliance
- Section 15-10A-05 - Independent review organizations or medical experts
- Section 15-10A-06 - [Effective Until 1/1/2025] Quarterly reports by carrier to Commissioner; annual summary report by Commissioner
- Section 15-10A-06 - [Effective 1/1/2025] Quarterly reports by carrier to Commissioner; annual summary report by Commissioner
- Section 15-10A-07 - Quarterly report to Commissioner by Health Advocacy Unit
- Section 15-10A-08 - [Effective Until 1/1/2025] Annual summary report by Health Advocacy Unit
- Section 15-10A-08 - [Effective 1/1/2025] Annual summary report by Health Advocacy Unit
- Section 15-10A-09 - Regulations; right to challenge decision resulting in nonpayment
- Section 15-10A-10 - Requirements of notice by carrier