Sec. 540.0268. ASSISTANCE RESOLVING RECIPIENT AND PROVIDER ISSUES. A contract to which this subchapter applies must require the contracting Medicaid managed care organization to provide ready access to a person who assists: (1) a recipient in resolving issues relating to enrollment, plan administration, education and training, access to services, and grievance procedures; and (2) a provider in resolving issues relating to payment, plan administration, education and training, and grievance procedures.
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