A BILL TO BE ENTITLED AN ACT TO ESTABLISH STANDARDS FOR MEDICAID MANAGED CARE FOR BEHAVIORAL HEALTH SERVICES UNDER THE 1915(B)/(C) MEDICAID WAIVER, INCLUDING THE ESTABLISHMENT OF GRIEVANCE AND APPEAL PROCEDURES FOR ENROLLEES.
House committee substitute makes the following changes to the 1st edition.
Changes the word subsection to section in GS 108D-17.
Deletes proposed subsection (d) (which excluded disputes between an LME/MCO and a provider or applicant from OAH's jurisdiction) in GS 108D-18.
Modifies subsection (c) of GS 108D-26 to eliminate any right to appeal the resolution of a LME/MCO grievance to OAH or any other forum, and eliminates subsection (d) (which established notice procedure for requesting LME/MCO level appeal).
Deletes references to grievance procedures under GS 108D-26 in GS 108D-28 and GS 108D-29.
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