HEAU Appeals and Grievances Cases - Maryland Attorney General

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This chart describes the outcomes of the 6158 internal grievances reported by carriers during FY 2007. This chart compares the year to year outcomes of grievances filed with carriers. 13
Carrier Grievance Data Type of Service Involved in Grievances Filed FY 2007 Carriers are required to report the type of service involved in the internal grievances they receive. The above chart details the types of services involved in internal grievances as reported by carriers in FY 2007. Carriers are required to identify the type of service involved in the internal grievances they receive as well as the outcomes of those grievances. This chart compares the variance in the outcome of grievances based upon the type of service being disputed in the grievance. This chart is based upon carrier reported data. The cases reported as overturned or modified have been combined to more clearly present the data. The carriers report Mental Health and Substance Abuse together. * In both of the above charts, Other includes: Skilled Nursing Facility, Sub Acute Facility, Nursing Home, Home Health and Other cases where the Type of Service did not fit an existing category. 14
Page 1 and 2: State of Maryland OFFICE OF THE ATT
Page 3 and 4: VI. Appendix.......................
Page 5 and 6: II. Overview of the Appeals and Gri
Page 7 and 8: HEAU’s 2003 Annual Report contain
Page 9 and 10: MIA Statistics FY 2007 In addition
Page 11 and 12: HEAU Statistics FY 2007 In addition
Page 13: Carrier Data Reported by Carriers F
Page 18 and 19: This chart compares the percentage
Page 20: MIA Appeals and Grievances Complain
Page 23 and 24: During FY 2007, MIA determined that
Page 25 and 26: MIA Appeals and Grievances Complain
Page 30 and 31: The HEAU mediates several types of
Page 32 and 33: Cases may be filed on behalf of pat
Page 34 and 35: HEAU Appeals and Grievances Cases T
Page 36: The above chart identifies the perc

HEAU Appeals and Grievances Cases - Maryland Attorney General

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