Subpart F—Grievance and Appeal System
- §438.400 Statutory basis, definitions, and applicability.
- §438.402 General requirements.
- §438.404 Timely and adequate notice of adverse benefit determination.
- §438.406 Handling of grievances and appeals.
- §438.408 Resolution and notification: Grievances and appeals.
- §438.410 Expedited resolution of appeals.
- §438.414 Information about the grievance and appeal system to providers and subcontractors.
- §438.416 Recordkeeping requirements.
- §438.420 Continuation of benefits while the MCO, PIHP, or PAHP appeal and the State fair hearing are pending.
- §438.424 Effectuation of reversed appeal resolutions.