Timeframe for Decisions Clause Samples

Timeframe for Decisions. The IDT staff shall make decisions on direct requests for services and provide notice as expeditiously as the member’s health condition requires.
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Timeframe for Decisions. The IDT staff shall make decisions on direct requests for services and provide notice as expeditiously as the member’s health condition requires. a. Standard Service Authorization Decisions i. Standard service authorization decisions shall be made no later than fourteen (14) calendar days following receipt of the request for the service unless the MCO extends the timeframe for up to fourteen (14) additional calendar days. If the timeframe is extended, the MCO must send a written notification to the member no later than the fourteenth day after the original request The notification of extension must inform the member that: a) The member may file a grievance if dissatisfied with the extension, in which case the extension will be considered a denial, and b) The member may contact the Member Rights Specialist for assistance.
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Timeframe for Decisions. The IDT staff shall make decisions on direct requests for services and provide notice as expeditiously as the member’s health condition requires. a. Standard Service Authorization Decisions i. Decisions on direct requests for services must be made and notice provided as expeditiously as the member’s health condition requires but not more than 72 hours after the date the interdisciplinary team receives the request. The interdisciplinary team may extend this 72-hour timeframe by up to five (5) additional calendar days for either of the following reasons: a) The participant or legal decision maker requests the extension, or b) The team documents its need for additional information and how the delay is in the interest of the participant.
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Timeframe for Decisions. The IDT staff shall make decisions on direct requests for services and provide notice as expeditiously as the member’s health condition requires. a. Standard Service Authorization Decisions i. For Family Care and Partnership, standard service authorization decisions shall be made no later than fourteen (14) calendar days following receipt of the request for the service unless the MCO extends the timeframe for up to fourteen (14) additional calendar days. If the timeframe is extended, the MCO must send a written notification to the member no later than the fourteenth day after the original request The notification of extension must inform the member that: a) The member may file a grievance if dissatisfied with the extension, in which case the extension will be considered a denial, and b) The member may contact the Member Rights Specialist for assistance. ii. For PACE, decisions on direct requests for services must be made and notice provided as expeditiously as the member’s health condition requires but not more than 72 hours after the date the interdisciplinary team receives the request. The interdisciplinary team may extend this 72-hour timeframe by up to five (5) additional calendar days for either of the following reasons: a) The participant or legal decision maker requests the extension, or b) The team documents its need for additional information and how the delay is in the interest of the participant. b. Expedited Service Authorization Decisions
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Timeframe for Decisions. The IDT staff shall make decisions on direct requests for services and provide notice as expeditiously as the member’s health condition requires. Standard Service Authorization Decisions Standard service authorization decisions shall be made no later than fourteen (14) calendar days following receipt of the request for the service unless the IHCP extends the timeframe for up to fourteen (14) additional calendar days. If the timeframe is extended, the IHCP must send a written notification to the member no later than the fourteenth day after the original request The notification of extension must inform the member that:
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Timeframe for Decisions. The IDT staff shall make decisions on direct requests for services and provide notice as expeditiously as the member’s health condition requires. Standard Service Authorization Decisions Standard service authorization decisions shall be made no later than fourteen (14) calendar days following receipt of the request for the service unless the IHCP extends the timeframe for up to fourteen (14) additional calendar days. If the timeframe is extended, the IHCP must send the following written notification of extension to the member no later than the fourteenth day after the original request: Extension notice for Family Care and Partnership Medicaid-only: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/forms/f0/f00232b.docx
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Timeframe for Decisions. Standard Service Authorization Decisions
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Related to Timeframe for Decisions

  • Major Decisions any proposed or actual foreclosure upon or comparable conversion of the ownership of the Property or the exercise of any other remedies with respect to the Loan;

  • Review by the Association of Procurement Decisions The Procurement Plan shall set forth those contracts which shall be subject to the Association’s Prior Review. All other contracts shall be subject to Post Review by the Association.

  • Arbitration Decisions Unless otherwise agreed by the Parties, the arbitrator(s) shall render a decision within ninety (90) Calendar Days of appointment and shall notify the Parties in writing of such decision and the reasons therefor. The arbitrator(s) shall be authorized only to interpret and apply the provisions of this Agreement and shall have no power to modify or change any provision of this Agreement in any manner. The decision of the arbitrator(s) shall be final and binding upon the Parties, and judgment on the award may be entered in any court having jurisdiction. The decision of the arbitrator(s) may be appealed solely on the grounds that the conduct of the arbitrator(s), or the decision itself, violated the standards set forth in the Federal Arbitration Act or the Administrative Dispute Resolution Act. The final decision of the arbitrator must also be filed with FERC if it affects jurisdictional rates, terms and conditions of service, Attachment Facilities, System Upgrade Facilities, or System Deliverability Upgrades.