Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.57 - Partially Capitated Programs
Section 10.09.57.12 - Internal Grievance Procedure
Universal Citation: MD Code Reg 10.09.57.12
Current through Register Vol. 51, No. 19, September 20, 2024
A. The PCP shall have an internal grievance procedure which has been preapproved by the Department. The PCP shall provide a copy of its internal grievance procedures to all enrollees.
B. The internal grievance procedure may:
(1) Provide
for the prompt resolution of any complaints of enrollees or their
representatives;
(2) Assure the
participation of individuals with the authority to require corrective action;
and
(3) Require that a written
record be made of all grievances and complaints by enrollees, and the responses
taken by the PCP.
C. The PCP shall submit monthly reports to the Department that summarize any grievances and complaints, the actions taken by the PCP in response to the complaints and grievances, and the PCP's plans to address the problems raised in the complaints and grievances.
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