Tracking System. The contractor shall maintain a separate complaint log as well as a grievance tracking and resolution system for Medicaid/NJ FamilyCare enrollees. The tracking system shall categorize complaints or grievances according to type of issue, standardize a system for routing complaints or grievances to operational department(s) for the dual purpose of resolving specific complaints or grievances and for improving the contractor's operating procedures, indicate the status and focus of each open grievance, send all requisite notices to enrollees within the appropriate timeframe, and log in the final resolution of each grievance. The tracking system shall differentiate between medical/dental and administrative complaints and grievances.
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Tracking System. The contractor shall maintain a separate complaint log as well as a grievance tracking and resolution system for Medicaid/NJ FamilyCare enrollees. The tracking system shall categorize complaints or grievances according to type of issue, standardize a system for routing complaints or grievances to operational department(s) for the dual purpose of resolving specific complaints or grievances and for improving the contractor's operating procedures, indicate the status and focus locus of each open grievance, send all requisite notices to enrollees within the appropriate timeframe, and log in the final resolution of each grievance. The tracking system shall differentiate between medical/dental and administrative complaints and grievances.
Appears in 1 contract
Tracking System. The contractor shall maintain a separate complaint log as well as a grievance tracking and resolution system for Medicaid/Medicaid/ NJ FamilyCare enrollees. The tracking system shall categorize complaints or grievances according to type of issue, standardize a system for routing complaints or grievances to operational department(s) for the dual purpose of resolving specific complaints or grievances and for improving the contractor's operating procedures, indicate the status and focus locus of each open grievance, send all requisite notices to enrollees within the appropriate timeframe, and log in the final resolution of each grievance. The tracking system shall differentiate between medical/dental and administrative complaints and grievances.
Appears in 1 contract