<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02-1" citation="COMAR 10.67.09.02-1" title_num="10" subtitle_num="67" chapter_num="09" heading="Member Complaints — Time Frames for MCOs to Respond to the Department.">
  <text>An MCO shall:</text>
  <paragraph num="A.">
    <text>Acknowledge an enrollee appeal or grievance reported to it by the Department’s complaint resolution unit within 1 business day;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Respond to the Department’s request for information regarding disputed nonemergency medical care actions within 3 business days;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Provide updates in a time frame specified by the Department;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Provide medical records within 5 days of the request; and</text>
  </paragraph>
  <paragraph num="E.">
    <text>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.</text>
  </paragraph>
</regulation>