42 CFR Part 438 - Subpart F - Grievance and Appeal System
- § 438.400 Statutory basis, definitions, and applicability.
- § 438.402 General requirements.
- § 438.404 Timely and adequate notice of adverse benefit determination.
- § 438.406 Handling of grievances and appeals.
- § 438.408 Resolution and notification: Grievances and appeals.
- § 438.410 Expedited resolution of appeals.
- § 438.414 Information about the grievance and appeal system to providers and subcontractors.
- § 438.416 Recordkeeping requirements.
- § 438.420 Continuation of benefits while the MCO, PIHP, or PAHP appeal and the State fair hearing are pending.
- § 438.424 Effectuation of reversed appeal resolutions.
Source:
81 FR 27853, May 6, 2016, unless otherwise noted.