Extension of timeframes Sample Clauses
Extension of timeframes a. The Contractor may extend the timeframes for standard and expedited resolution of grievances and appeals by up to 14 calendar days if:
i. The beneficiary requests the extension; or
ii. The Contractor shows (to the satisfaction of the Department, upon its request) that there is need for additional information and how the delay is in the beneficiary’s interest.
Extension of timeframes. 9.7.2.1 The Contractor may extend the timeframes from §9.7.1 of this section by up to fourteen (14) calendar days if:
9.7.2.1.1 The member requests the extension; or
9.7.2.1.2 The Contractor shows (to the satisfaction of SCDHHS, upon its request) that there is need for additional information and how the delay is in the member's interest.
Extension of timeframes. The PIHP may extend the grievance resolution and notice timeframe by up to 14 calendar days if the Enrollee requests an extension, or if the PIHP shows to the satisfaction of the State that there is a need for additional information and how the delay is in the Enrollee’s interest. 42 CFR 438.408(c).
a. If the PIHP extends resolution/notice timeframes, it must complete all of the following: 42 CFR 438.408(c)
i. Make reasonable efforts to give the Enrollee prompt oral notice of the delay;
ii. Within 2-calendar days, give the Enrollee written notice of the reason for the decision to extend the timeframe and inform the Enrollee of the right to file a Grievance if they disagree with the decision; and
iii. Resolve the Appeal as expeditiously as the Enrollee’s health condition requires and not later than the date the extension expires
Extension of timeframes. The parties may extend the above described
Extension of timeframes. The Purchasers hereby grant a 30-day extension (i.e., for filing, to October 22, 2008, and for effectiveness, to January 20, 2009 or February 19, 2009, as applicable) of the timeframes set forth in Section 2 of the Registration Agreement (including the definitional terms therein), and no liquidated damages shall accrue during such 30-day period.
Extension of timeframes. The CCN may extend the timeframes from § 9.7.1 of this section by up to fourteen (14) calendar days if:
a. The member requests the extension; or
b. The CCN shows (to the satisfaction of DHH, upon its request) that there is need for additional information and how the delay is in the member's interest.
Extension of timeframes i. The PAHP may extend the timeframes from paragraph (b) of this section by up to 14 calendar days if
1. The enrollee requests the extension; or
2. The PAHP shows (to the satisfaction of the State agency, upon its request) that there is need for additional information and how the delay is in the enrollee's interest.
Extension of timeframes. The CONTRACTOR may extend the timeframes stated in this subsection of this contract by up to fourteen (14) Calendar Days if: The Medicaid Managed Care Member requests the extension, or The CONTRACTOR shows (to the Department’s satisfaction, upon its request) that there is need for additional information and how the delay is in the Medicaid Managed Care Member's interest. Requirements Following Extension: Make reasonable efforts to give the Enrollee prompt oral notice of the delay. Within two (2) Calendar Days give the Enrollee written notice of the reason for the decision to extend the timeframe and inform the Enrollee of the right to file a Grievance if he or she disagrees with that decision. Resolve the Appeal as expeditiously as the Enrollee’s health condition requires and no later than the date the extension expires.
Extension of timeframes. 9.6.2.1 The Contractor may extend the timeframes from § 9.7.1 of this Section by up to fourteen (14) calendar days if:
9.6.2.1.1 The Medicaid MCO Member requests the extension; or
9.6.2.1.2 The Contractor shows (to the Department’s satisfaction, upon its request) that there is need for additional information and how the delay is in the Medicaid MCO Member's interest.