Time Limits for Resolution of Internal Appeals
Effective Sep 7, 2018Mass. Register #1373MGL c. 6D, § 15 MGL c. 6D, § 16 MGL c. 176O, § 24Massachusetts Health Policy Commission
- (1) The RBPO or ACO shall provide the Patient, or the Patient’s Authorized Representative, with a written resolution of the appeal within 14 calendar days of receipt of the original appeal.
- (2) The RBPO or ACO shall provide the Patient, or the Patient’s Authorized Representative, with a written resolution of the expedited internal appeal concerning an Urgent Medical Need within three business days.