Page 70

Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: 70 lead to review by an independent review organization formed pursuant to article 21.58C, Insurance Code. Expedited Process for Complaints Concerning Health Services Matters Investigation and resolution of complaints concerning health services matters must be concluded in accordance with the medical needs of the patient. Premium Assistance Programs

12.3 If providing coverage through a group health plan that does not meet the requirements of 42 CFR §457.1120, please describe how the state will assure that applicants and enrollees have the option to obtain health benefits coverage other than through the group health plan at initial enrollment and at each redetermination of eligibility.

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Page 70

Official source

Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: 70 lead to review by an independent review organization formed pursuant to article 21.58C, Insurance Code. Expedited Process for Complaints Concerning Health Services Matters Investigation and resolution of complaints concerning health services matters must be concluded in accordance with the medical needs of the patient. Premium Assistance Programs

12.3 If providing coverage through a group health plan that does not meet the requirements of 42 CFR §457.1120, please describe how the state will assure that applicants and enrollees have the option to obtain health benefits coverage other than through the group health plan at initial enrollment and at each redetermination of eligibility.