CSHCN 2008 > Appeals and Administrative Review

Appeals and Administrative Review

7.1 Methods of Appeal to TMHP 7-2

7.1.1 Electronic Appeal Submission 7-2

7.1.1.1 Advantages of Electronic Appeal Submission 7-2

7.1.1.2 Disallowed Electronic Appeals 7-2

7.1.2 AIS Claim Correction and Resubmission (Appeals) 7-3

7.1.3 Paper Appeals 7-3

7.1.3.1 Medical Necessity Denial Appeals 7-4

7.1.4 Appeals Submitted Incorrectly 7-4

7.2 Refunds 7-4

7.3 Administrative Review 7-4

7.3.1 Administrative Review Requirements 7-5

7.4 Fair Hearing 7-6

7.5 TMHP-CSHCN Services Program Contact Center 7-6

7.6 Fair Hearing Request and Administrative Review Deadline Calendar for 2008 7-7

7.7 Authorization and Filing Deadline Calendar for 2007 7-8

7.8 Authorization and Filing Deadline Calendar for 2008 7-9