R2-6-402. Grievance of a Department Decision

A. An individual who participates in one or more of the insurance plans made available by the Department may file a grievance with the Director regarding: 1. Determination of creditable coverage, 2. Determination of whether a medical child support order is qualified, 3. Determination of eligibility, 4. Dissatisfaction with care, 5. Dissatisfaction with an insurance plan, 6. Dissatisfaction with a plan provider, 7. Access to care, and 8. Inconsistent application of statute or rule. B. To file a grievance, an individual shall submit a letter to the Director that contains the following information: 1. Name and contact information of the individual filing the grievance, 2. Name of the particular insurance plan that is the subject of the grievance, 3. Nature of the grievance, and 4. Nature of the resolution requested. C. The Director shall provide a written response to a grievance within 60 days.