§ 34.1.4 Issues Most Commonly Raised.

JurisdictionArizona

§ 34.1.4 Issues Most Commonly Raised. The grievance and hearing procedures are available to anyone having a dispute with AHCCCS, its health plans or its long-term care program contractors. These may be appeals of formal adverse actions taken by AHCCCS or a contractor, or grievances over quality of care or other subjects of member dissatisfaction.

The most frequent grievance issues have to do with claims by providers over disallowed claims for services; member...

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