405 IAC 1-1.6-6

405 IAC 1-1.6-6 Record keeping and reporting requirements

Last amended: 2023Year: 2027Length: 62 wordsOfficial source

Cite as Ind. Admin. Code tit. 405, r. 1-1.6-6

Sec. 6. The MCO shall maintain a log of all written informal provider objections to determinations and formal provider appeals involving claims. The logged information shall include the: (1) provider's name; (2) date of objection; (3) nature of the objection; and (4) disposition. The MCO shall submit quarterly reports to the office regarding the number and type of provider objections and appeals.