America's Affordable Health Choices Act of 2009, October 14, 2009, 111-1 House Report 111-299, Part 1, *2009 |
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... appropriate actively practicing health care professionals , as determined by the plan , pursuant to the pro- gram . Such criteria shall include written clinical review criteria that are based on valid clinical evidence where available ...
... appropriate actively practicing health care professionals , as determined by the plan , pursuant to the pro- gram . Such criteria shall include written clinical review criteria that are based on valid clinical evidence where available ...
Страница 18
... appropriate individual ( with respect to such cov- erage ) of the decision denying the claim . ( 2 ) TREATMENT OF ORAL REQUESTS . - The request for review under paragraph ( 1 ) ( B ) may be made orally , but , in the case of an oral ...
... appropriate individual ( with respect to such cov- erage ) of the decision denying the claim . ( 2 ) TREATMENT OF ORAL REQUESTS . - The request for review under paragraph ( 1 ) ( B ) may be made orally , but , in the case of an oral ...
Страница 19
... appropriate Secretary shall establish standards to carry out such requirements . ( 2 ) EXTERNALLY APPEALABLE DECISION DEFINED.— ( A ) IN GENERAL . - For purposes of this section , the term " externally ap- pealable decision " means a ...
... appropriate Secretary shall establish standards to carry out such requirements . ( 2 ) EXTERNALLY APPEALABLE DECISION DEFINED.— ( A ) IN GENERAL . - For purposes of this section , the term " externally ap- pealable decision " means a ...
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... appropriate , shall consult with at least with the fol- lowing : ( 1 ) The National Association of Insurance Commissioners , State attorneys general , and State insurance regulators , including concerning the standards for insured ...
... appropriate , shall consult with at least with the fol- lowing : ( 1 ) The National Association of Insurance Commissioners , State attorneys general , and State insurance regulators , including concerning the standards for insured ...
Страница 26
... appropriate manner- ( 1 ) receive complaints , grievances , and requests for information submitted by individuals ; ( 2 ) provide assistance with respect to complaints , grievances , and requests re- ferred to in paragraph ( 1 ) ...
... appropriate manner- ( 1 ) receive complaints , grievances , and requests for information submitted by individuals ; ( 2 ) provide assistance with respect to complaints , grievances , and requests re- ferred to in paragraph ( 1 ) ...
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111TH CONGRESS administrative Advisory agencies amount applicable appropriate areas assistance authorized Center clause clinical Commissioner Committee Congress contract coordination cost-sharing costs coverage Current Law dual eligibles durable medical equipment employers enactment end the following enrollee enrollment ensure establish evaluation federal fiscal funds GENERAL.-Section grant Health and Human health benefits plan health care Health Insurance Exchange health plan health workforce HIPAA hospital Human Services implement improve individual inserting items and services Law This provision Medicaid medical home Medicare Part D Medicare Prescription Drug ment mental health counselor nursing facility participate patient payment period PHSA sec PHSA section PHSA title physician pilot program premium prescription drug preventive services Proposed Law qualified health benefits quality measures rebate resident respect retary Security Act 42 Social Security Act specified standards striking submit subparagraph subsection Subtitle Task Force telehealth term tion United States Code