<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 31.10.18.08" title_num="31" subtitle_num="10" chapter_num="18" heading="Time for Rendering Final Decisions Resulting from Internal Grievance Process.">
  <paragraph num="A.">
    <text>Except as otherwise provided in this regulation, a carrier shall render a final decision on a grievance that involves a:</text>
    <paragraph num="(1)">
      <text>Prospective denial in a nonemergency case within 30 working days after the filing date; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Retrospective denial within 45 working days after the filing date.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>With the written consent of the member, member’s representative, or health care provider who filed a grievance on behalf of the member, a carrier may extend the period for making a final decision for an additional period of not longer than 30 working days.</text>
  </paragraph>
</regulation>