# COMAR Title 10 — Maryland Department of Health

## Subtitle 67 — Maryland Healthchoice Program

### Chapter 09 — Maryland Medicaid Managed Care Program: MCO Dispute Resolution Procedures

#### Regulation .02-1 Member Complaints — Time Frames for MCOs to Respond to the Department.

*COMAR 10.67.09.02-1*

An MCO shall:

A. Acknowledge an enrollee appeal or grievance reported to it by the Department’s complaint resolution unit within 1 business day;

B. Respond to the Department’s request for information regarding disputed nonemergency medical care actions within 3 business days;

C. Provide updates in a time frame specified by the Department;

D. Provide medical records within 5 days of the request; and

E. Provide a corrective action plan upon request and within the time frame specified, but not later than 10 days from the date of the request.