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 Amendment #2 makes the following changes to the 2nd edition of the bill as amended (Amendment #1 adopted 05-14-2013):
Amends GS 108D-29 by adding a new subsection (h) requiring mediation prior to a hearing for a contested case filed under this section. Under subsection (h), the Office of Administrative Hearings (OAH) must immediately notify the Mediation Network of North Carolina upon receipt of a request for an appeal; the Mediation Network must contact the recipient within five days to offer mediation which, if accepted, must be completed within 25 days of the appeal request. If the mediation is successful, OAH must dismiss the case; OAH cannot conduct a hearing on a contested case unless the mediator notifies OAH that the mediation offer was rejected, mediation was unsuccessful, or the petitioner failed to appear at mediation.
Amendment #2 also reletters the remaining subsections of GS 108D-29 and makes technical changes to GS 108D-27(e) and -28(e).
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