Section R2-6-402. Grievance of a Department Decision

A.      An individual who participates in one or more of the insurance plans made available by the Department may file a grievance with the Director regarding:

1.        Determination of creditable coverage,

2.        Determination of whether a medical child support order is qualified,

3.        Determination of eligibility,

4.        Dissatisfaction with care,

5.        Dissatisfaction with an insurance plan,

6.        Dissatisfaction with a plan provider,

7.        Access to care, and

8.        Inconsistent application of statute or rule.

B.       To file a grievance, an individual shall submit a letter to the Director that contains the following information:

2.        Name of the particular insurance plan that is the subject

of the grievance,

3.        Nature of the grievance, and

4.        Nature of the resolution requested.

C.      The Director shall provide a written response to a grievance within 60 days.

Historical Note

Adopted effective September 16, 1997 (Supp. 97-3). Sec- tion expired under A.R.S. § 41-1056(E) at 8 A.A.R. 5017, effective September 30, 2002 (Supp. 02-4). New Section made by final rulemaking at 15 A.A.R. 258, effective March 7, 2009 (Supp. 09-1).