Federal (United States) · Regulations
Subpart F — Grievance and Appeal System
10 sections
10 sections
- 42 C.F.R. § 438.400Statutory basis, definitions, and applicability.
- 42 C.F.R. § 438.402General requirements.
- 42 C.F.R. § 438.404Timely and adequate notice of adverse benefit determination.
- 42 C.F.R. § 438.406Handling of grievances and appeals.
- 42 C.F.R. § 438.408Resolution and notification: Grievances and appeals.
- 42 C.F.R. § 438.410Expedited resolution of appeals.
- 42 C.F.R. § 438.414Information about the grievance and appeal system to providers and subcontractors.
- 42 C.F.R. § 438.416Recordkeeping requirements.
- 42 C.F.R. § 438.420Continuation of benefits while the MCO, PIHP, or PAHP appeal and the State fair hearing are pending.
- 42 C.F.R. § 438.424Effectuation of reversed appeal resolutions.