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Md. Code Regs. 10.67.09 – Maryland Medicaid Managed Care Program: MCO Dispute Resolution Procedures | Midpage
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Code of Maryland Regulations
Title 10
§ 67
Chapter 09
Md. Code Regs. 10.67.09
Maryland Medicaid Managed Care Program: MCO Dispute Resolution Procedures
Effective Jun 13, 2022
.01
MCO Enrollee Services.
.02
MCO Enrollee Complaint Process.
.02-1
Member Complaints — Time Frames for MCOs to Respond to the Department.
.03
MCO Provider Complaint Process.
.03-1
Independent Review Organization (IRO).
.03-2
Provider Complaints — Time Frames for MCOs to Respond to the Department.
.04
MCO Actions and Decisions.
.05
MCO Appeal Process for Enrollees.