Managed Care 2008 Complaint and Grievance Audit
The Pennsylvania Department of Health, Bureau of Managed Care (the Bureau), is undertaking an audit of the complaints and grievances processed by managed care plans. The purpose of this audit is to assure the managed care plan’s compliance with the standards established under the Quality Health Care Accountability and Protection Act, commonly referred to as Act 68, and the Department’s Managed Care Regulations.
Due Date: October 31, 2008
Please click the links below to open the instructions and the working forms
Instructions Forms
Submission Notes:
* Spreadsheets must be completed and submitted electronically
* Authorization or case file numbers must be included, where indicated
* Do not include administrative overturns, self-insured, Medicare or Federal activities
