Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 809-I - Appeal rights(a) Request for review.--A managed care organization that is aggrieved by a determination of the department as to the amount of the assessment due from the managed care organization or a remedy imposed under section 807-I may file a request for review of the decision of the department by the Bureau of Hearings and Appeals, which shall have exclusive jurisdiction in such matters.(b)Procedures.--The procedures and requirements of 67 Pa.C.S. Ch. 11 (relating to medical assistance hearings and appeals) shall apply to requests for review filed under this section, except that in any such request for review, a managed care organization may not challenge the fixed fee under section 803-I, but only whether the department correctly determined the assessment amount due from the managed care organization using the applicable fixed fee in effect for the fiscal year.(c)Assessment obligation.--A notice of review filed under this section shall not operate as a stay of the managed care organization's obligation to pay the assessment amount due for a fiscal year. Added by P.L. TBD 2015 No. 92, § 15, eff. 7/1/2016.