Title 42

PART 438 SUBPART F

Subpart F - Grievance and Appeal System Source:81 FR 27853, May 6, 2016, unless otherwise noted.

• 42 U.S.C. 1302.
• Source: 67 FR 41095, June 14, 2002, unless otherwise noted.

42:4.0.1.1.8.6.100.1	SECTION 438.400	438.400 Statutory basis, definitions, and applicability.
42:4.0.1.1.8.6.100.2	SECTION 438.402	438.402 General requirements.
42:4.0.1.1.8.6.100.3	SECTION 438.404	438.404 Timely and adequate notice of adverse benefit determination.
42:4.0.1.1.8.6.100.4	SECTION 438.406	438.406 Handling of grievances and appeals.
42:4.0.1.1.8.6.100.5	SECTION 438.408	438.408 Resolution and notification: Grievances and appeals.
42:4.0.1.1.8.6.100.6	SECTION 438.410	438.410 Expedited resolution of appeals.
42:4.0.1.1.8.6.100.7	SECTION 438.414	438.414 Information about the grievance and appeal system to providers and subcontractors.
42:4.0.1.1.8.6.100.8	SECTION 438.416	438.416 Recordkeeping requirements.
42:4.0.1.1.8.6.100.9	SECTION 438.420	438.420 Continuation of benefits while the MCO, PIHP, or PAHP appeal and the State fair hearing are pending.
42:4.0.1.1.8.6.100.10	SECTION 438.424	438.424 Effectuation of reversed appeal resolutions.

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