Appeal, Grievance, and Hearing for an Enrolled Person | Midpage

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Arizona Administrative Code

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Appeal, Grievance, and Hearing for an Enrolled Person

Arizona Health Care Cost Containment System - Grievance System

R9-34-201Purpose R9-34-202Definitions R9-34-203Computation of Time R9-34-204Language and Format of the Notice of Action R9-34-205Content of the Notice of Action R9-34-206Contractor Notice of Action Time-frame for Service Authorization Requests R9-34-207Contractor Notice of Action Time-frame for Service Termination, Suspension, or Reduction R9-34-208Who May File R9-34-209Enrollee Time-frame for Filing an Appeal or Grievance with the Contractor R9-34-210Contractor General Requirements for Grievance or Appeal Process R9-34-211Contractor Special Requirements for the Appeal Process R9-34-212Contractor Time-frame for Standard Disposition of a Grievance R9-34-213Contractor Time-frame for Standard Resolution of an Appeal R9-34-214Contractor Process for an Expedited Resolution of an Appeal R9-34-215Contractor Time-frame for an Expedited Appeal Resolution R9-34-216Content of Contractor Notice of Appeal Resolution R9-34-217Enrollee Request for a State Fair Hearing R9-34-218AHCCCS Time-frame for Resolution of a State Fair Hearing R9-34-219Enrollee’s Request for an Expedited State Fair Hearing R9-34-220AHCCCS Time-frame for Resolution of an Expedited State Fair Hearing R9-34-221Withdrawal of a Request for a State Fair Hearing R9-34-222Denial of a Request for a State Fair Hearing R9-34-223Motion for Rehearing or Review R9-34-224Continuation of Services While the Contractor Appeal and the State Fair Hearing Are Pending R9-34-225Reversed Appeal Resolutions