90-590-243 Me. Code R. § 7

Current through 2024-51, December 18, 2024
Section 590-243-7 - Extensions or Waivers to Data Submission Requirements

If a health care claims processor due to circumstances beyond its control is temporarily unable to meet the terms and conditions of this rule, a written request must be made to the Compliance Officer of the MHDO as soon as it is practicable after the health care claims processor has determined that an extension or waiver is required. The written request shall include: the specific requirement to be extended or waived; an explanation of the cause; the methodology proposed to eliminate the necessity of the extension or waiver; and the time frame required to come into compliance. If the Compliance Officer does not approve the requested extension or waiver, the health claims processor making the request may submit a written request appealing the decision to the MHDO Board. The appeal shall be heard by the MHDO Board at the next regularly scheduled meeting following receipt of the request at the MHDO.

90-590 C.M.R. ch. 243, § 7