31 Pa. Code § 154.13 - Managed care plan reporting of complaints and grievances
(a) Section 2111(13) of the act
(40
P. S. §
991.2111(13))
requires managed care plans to report specific information to the Department of
Health and the Department with respect to the number, type and disposition of
all complaints and grievances filed with the managed care plan.
(b) Managed care plans shall report the
information in subsection (a) to the Departments based on the format as
required by the Departments.
(c)
Notice of changes or amendments to the format for reporting complaint and
grievance information will be published by the Department in the
Pennsylvania Bulletin. The notice will provide for a 30-day
public comment period. Changes in format will become effective 30 days after
publication of the revised format in a subsequent edition of the
Pennsylvania Bulletin.
Notes
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