MGH Community News

MASSHEALTH APPEAL RIGHTS CHANGES

In emergency regulations effective January 1, 2001 the Division of Medical Assistance clarified that enrollees of the Division's behavioral health contractor and managed care organizations may appeal to the Division the contractor's determination to deny, reduce, modify or terminate a covered service after exhausting all remedies available through the contractor's internal appeal process.

-From MassHealth Eligibility Letter 80 1/2001


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