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§ 809-I. Appeal rights

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 62 P.S. Poor Persons and Public WelfareEffective: July 1, 2016

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 62 P.S. Poor Persons and Public Welfare (Refs & Annos)
Chapter 1. Human Services Code (Refs & Annos)
Article VIII-I. Managed Care Organization Assessments (Refs & Annos)
Effective: July 1, 2016
62 P.S. § 809-I
Formerly cited as PA ST 62 P.S. § 809-F
§ 809-I. Appeal rights
(a) Request for review.--A managed care organization that is aggrieved by a determination of the department as to the amount of the assessment due from the managed care organization or a remedy imposed under section 807-I1 may file a request for review of the decision of the department by the Bureau of Hearings and Appeals, which shall have exclusive jurisdiction in such matters.
(b) Procedures.--The procedures and requirements of 67 Pa.C.S. Ch. 11 (relating to medical assistance hearings and appeals) shall apply to requests for review filed under this section, except that, in any such request for review, a managed care organization may not challenge the fixed fee under section 803-I,2 but only whether the department correctly determined the assessment amount due from the managed care organization using the applicable fixed fee in effect for the fiscal year.
(c) Assessment obligation.--A notice of review filed under this section shall not operate as a stay of the managed care organization's obligation to pay the assessment amount due for a fiscal year.

Credits

1967, June 13, P.L. 31, No. 21, art. 8-I, § 809-I, added 2015, Dec. 28, P.L. 500, No. 92, § 15, effective July 1, 2016.

Footnotes

62 P.S. § 807-I.
62 P.S. § 803-I.
62 P.S. § 809-I, PA ST 62 P.S. § 809-I
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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