Member Notification. The Contractor shall provide Members written notice of an Adverse Benefit Determination in writing consistent with 42 C.F.R Part 438.404 and 438.10. The notice must explain the following:
Appears in 6 contracts
Sources: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)