Common use of Extension of timeframes Clause in Contracts

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 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.