405 IAC 5-7-3 Conduct of administrative review

Sec. 3. (a) The Medicaid contractor will perform the review. (b) The review will assess medical information pertinent to the case in question. (c) The review decision of the Medicaid contractor will be rendered within seven (7) working days of request. The time limit for issuance of a decision does not commence until the provider submits a complete request, including all necessary documentation required by the contractor to render a decision. (d) The requesting provider and member will receive written notification of the decision containing the following: (1) The determination reached by the Medicaid contractor, and the rationale for the decision. (2) Provider and member appeal rights through the office.