N.M. Admin. Code § 8.349.2.16 - COORDINATED SERVICE CONTRACTOR (CSC) PROVIDER GRIEVANCE PROCESS
The CSC shall establish and maintain written policies and procedures for the filing of provider grievances. A provider shall have the right to file a grievance with the CSC regarding utilization management decisions or provider payment issues. Grievances shall be resolved within 30 calendar days. A provider may not file a grievance on behalf of a recipient without written designation by the recipient as the recipient's representative. See 8.349.2.14 NMAC for special rules for certain expedited service authorizations.
Notes
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