Md. Code Regs. 10.67.09.02-1

Current through Register Vol. 51, No. 25, December 13, 2024
Section 10.67.09.02-1 - Member Complaints - Time Frames for MCOs to Respond to the Department

An MCO shall:

A. Acknowledge an enrollee appeal or grievance reported to it by the Department's complaint resolution unit within 1 business day;
B. Respond to the Department's request for information regarding disputed nonemergency medical care actions within 3 business days;
C. Provide updates in a timeframe specified by the Department;
D. Provide medical records within 5 days of the request; and
E. Provide a corrective action plan upon request and within the timeframe specified, but not later than 10 days from the date of the request.

Md. Code Regs. 10.67.09.02-1

Regulations .02-1 recodified from 10.09.71.02-1 effective 46:22 Md. R. 976, eff. 11/1/2019