Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 5. |
Subtitle 67. MARYLAND HEALTHCHOICE PROGRAM |
Chapter 10.67.13. Maryland Medicaid Managed Care Program: Independent Review Organization (IRO) |
Sec. 10.67.13.08. Appeal
Latest version.
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A. As a prerequisite for participating in the IRO complaint adjudication process, a provider waives all other administrative and judicial appeal rights and accepts the IROs decision as final and binding.
B. An MCO that receives an adverse decision from an independent review organization may file an appeal in accordance with COMAR 10.67.10.02.