Provider Manual

 

Section 6: Dispute Resolution and the Alliance Grievance Process

 

 

Table of Contents

6.1 Overview      

6.2 Provider Dispute Resolution   

6.3 Member Complaints  

6.4 Member Complaints and the Alliance Grievance Process             

6.5 Member Rights in the Alliance Grievance Process          

 

 

 

 

6.1    Overview top

 

Plan members and network providers may access the Dispute Resolution and Grievance process at any time.  The processes for both members and providers are presented in this section.  All necessary forms can be found in Section 7  -  Forms, in this Provider Manual.

 

6.2    Provider Dispute Resolution top

 

Purpose

 

To ensure that Alliance providers have an avenue to resolve their disputes with the Alliance in a timely, fair and efficient manner.

 

A.                    Provider Dispute Resolution Process

 

Providers may file disputes regarding medical, administrative, contractual and payment issues.  Such disputes must be filed with the Alliance within three hundred and sixty-five (365) days of the Plan’s action or where the dispute addresses Plan’s inaction within three hundred and sixty-five (365) days of the expiration of Plan’s time to act.  Providers must exhaust this dispute resolution process before pursuing other available legal remedies.

 

1.      Dispute Resolution Process

a.      Disputes must be submitted in writing either by hardcopy or by email.  Mail or deliver your hardcopy dispute to:

Central Coast Alliance for Health

ATTN:  Grievance Coordinator

1600 Green Hills Rd., Suite 101

Scotts Valley, CA  95066-9998

Email your electronic dispute to GrievanceCoordinator@ccah-alliance.org.

b.      Disputes must include the following information:

§               Provider name

§               Provider Alliance ID number

§               Provider contact information

§               A clear explanation of the matter at issue

§               Your position on the matter. 

§               If the dispute involves a claim or request for reimbursement of overpayment, you also must include

·         Original claim number – The original claim number will become the dispute number for tracking purposes. 

·         Clear identification of the disputed item

·         Date of service

·         Clear explanation of why you believe the payment or other action is incorrect.

§               If the dispute involves members you must include Alliance identification number and name of the member.

         The provider may also include any supporting clinical information if applicable.  The Alliance will return the dispute to the provider for more information if the dispute does not include the above information and the Alliance cannot readily obtain the information.  The provider has thirty (30) working days to submit an amended dispute to the Alliance. 

c.      Substantially Similar Multiple Disputes Regarding Claims, Billing or Contractual Issues (Multiple Dispute).

         If a provider has multiple disputes addressing one issue the Provider may file a single dispute using the system described below.  This type of dispute will be called a multiple dispute.  Please include a list of each individual dispute, identified as stated below, with the other required information for filing the multiple dispute. 

1.      Claims or Billing “Multiple Disputes

         The “multiple dispute” filed will be numbered with the Provider’s Alliance assigned provider ID number and the date the dispute was submitted to the Alliance (Provider ID/Date).  Each individual claim within the “multiple dispute” will maintain its original claim number, and should be included on a list submitted with the dispute.

         Example – Provider with provider ID number 9999 submits a “multiple dispute” regarding disputes on the same or substantially similar issue on January 1, 2004.  There are five claims numbered 00000323864 – 00000323868, each of which will be identified in the dispute.  The “multiple dispute” will be numbered 9999/010104.  Each claim within the “multiple dispute” would be identified by its’ original claim number on the list submitted with the dispute.

2.      Contractual or Administrative Multiple Disputes

         The “multiple dispute” will be numbered with the provider’s Alliance assigned Provider ID number and the date the dispute was submitted to the Alliance.  Each individual contract or administrative dispute within the “multiple dispute” will be identified sequentially beginning with (a) and proceeding through the alphabet.

         Example – Provider with ID number 9999 submits a “multiple dispute” regarding a number of administrative issues (3).  The dispute will be numbered 9999/010104 and each individual dispute within the batch will be (a), (b) and (c). 

d.      The Alliance will acknowledge your mailed or delivered dispute in five (5) days of our receipt of the dispute.  The Alliance will acknowledge your emailed dispute within two (2) working days of our receipt of the electronically submitted dispute. 

e.      The Alliance will send you a written determination of the dispute within thirty (30) calendar days of the date we receive the dispute.

 

The Provider Dispute form can be found in Section 7 - Forms, in this Provider Manual.

 

For assistance in filing a Provider Dispute, please contact Plan’s Grievance Coordinator at (831) 430-5525.

 

6.3    Member Complaints top

 

Plan members have the right to file complaints about their experiences with the plan or providers.  We recognize that most providers have their own internal mechanisms for handling and resolving patient complaints.  In addition to your own systems or procedures for this, as a network provider you must also have the following materials available for Medi-Cal, Healthy Families, Healthy Kids, and Alliance Care IHSS Program members:

 

1.      “Frequently Asked Questions About the Alliance Grievance Process” (in English and Spanish)

2.      Plan Grievance Forms (in English and Spanish)

 

Copies of the above listed documents can be found in Section 7  -  Forms, in this provider manual, for your reference and convenience.

 

Member Complaints, Inquiries and Claims

 

(a)     When a member complaint is brought to Contractor’s attention, Contractor shall investigate such complaint and use its best efforts to resolve such complaint in a fair and equitable manner.  Contractor shall cooperate with Plan in identifying, processing and resolving all member complaints pursuant to Plan’s member grievance procedures.  Such cooperation will include, but not be limited to, meeting with representatives of Plan upon request, providing information bearing on the complaint to such representatives and taking all reasonable actions suggested by such representatives to resolve the Member’s complaint.  Contractor will promptly notify Plan of receipt of all complaints from or on behalf of members.  The parties will each promptly notify the other of the receipt of any written complaint letters regarding Services provided to members by or on behalf of Contractor.  Contractor shall comply with Plan’s resolution of any such complaints.

 

(b)     Plan is responsible for administration of Covered Benefits.  All inquiries regarding what services and benefits are Covered Benefits are to be referred to Plan.

 

(c)     Contractor will promptly notify Plan of any professional liability claims filed or asserted regarding Services provided to members by, or on behalf of, Contractor.

 

The following pages describe the steps to file a member complaint.  Complaint form and information about how to file a complaint can be found in Section 7  -  Forms, of this provider manual.  These should be available to members in all contracted providers’ offices.  If a member asks to file a complaint, the provider’s office should supply these forms and instructions to the member.  Providers may refer members with complaints to the Alliance Member Services Department for assistance, or to the plan’s website http://www.ccah-alliance.org.  Member complaint forms and instructions are available there, and members may file a complaint electronically.

 

6.4    Member Complaints and the Alliance Grievance Process top

 

Members have the right to express their dissatisfaction with any aspect of Plan or its providers.  A complaint may be filed by a member or a member’s authorized representative in one of the following ways:

 

1.            In person, by making an appointment to meet with a Member Services Representative (MSR) at one of our three (3) offices:

 

Office

Address

Scotts Valley:

1600 Green Hills Rd., Suite 101

 

Scotts Valley, CA  95066

Watsonville:

119 W. Beach Street.

 

Watsonville, CA  95076

Salinas:

1000 S. Main Street, Suite 313

 

Salinas, CA  93901

 

2.            By calling a Member Services Representative at:

 

Office

Address

Scotts Valley

(831) 430-5505

Watsonville:

(831) 430-5500, ext. 7038 or (800) 700-3874, ext. 7038

Salinas:

(831) 755-8220, ex. 5505

 

The TDD line for the hearing and/or speech impaired is (877) 548-0857

 

3.            By calling the Grievance Coordinator at (831) 430-5525 or toll free (800) 700-3874, ext. 5525.

 


4.            By filling out a Complaint form or putting the complaint in writing and sending it to the Grievance Coordinator at:

 

Central Coast Alliance for Health

ATTN:  Grievance Coordinator

1600 Green Hills Rd., Suite 101

Scotts Valley, CA  95066-9998

 

5.            Electronically, by visiting the Alliance’s Internet Website at http://www.ccah-alliance.org and submitting a complaint electronically, using the link found in the Members section of the web site.

 

The Grievance Coordinator will send an acknowledgement letter to the member within five (5) calendar days following receipt of the complaint.  The letter will state the issue(s) of concern to the Member as understood by Plan, identify the Grievance Coordinator as the person to contact regarding the complaint, notify the member of his/her rights in the grievance process, and inform the member that s/he will receive a proposed resolution letter within thirty (30) calendar days from the date the complaint was received.

 

Complaints received over the telephone that are not coverage disputes, disputed health care services involving medical necessity or experimental or investigational treatment, and are resolved by the next business day will not require written acknowledgement and response.

 

A member with Medi-Cal coverage does not have to use the Alliance grievance process to resolve his/her complaint.  S/he can ask for a State Fair Hearing as long as the request is made within 90 days from the date of the event that caused the member to be dissatisfied.  Members can file their requests directly with the California Department of Social Services (DSS) by calling 1-800-952-5253 (TTD 1-800-952-8349 for the hearing and speech impaired) or by contacting the following offices in their county of residence:

 

Human Resources Agency                     Monterey County Department of Social Services

1000 Emeline Street                               1000 South Main Street, Suite 208

P. O. Box 1320                                      Salinas, CA  93901

Santa Cruz, CA  95061

 

Phone:  (831) 454-4117                         (831) 755-4477

 

A member with Healthy Families, Healthy Kids or Alliance Care IHSS coverage has to go through the Alliance grievance process first to resolve his/her complaint.  If the member is unhappy with the resolution or the complaint has not been resolved after thirty (30) days, s/he can contact the California Department of Managed Health Care (DMHC) at 1-888-HMO-2219 (TDD 1-877-688-9891 for the hearing and speech impaired) to request a review of the complaint.  The department’s Internet Web site http://www.hmohelp.ca.gov has complaint forms and instructions online. 

 

Informational notices explaining how enrollees may contact their plan, file a complaint with their plan, obtain assistance from the Department and seek an independent medical review are available in non-English languages through the Department’s web site above.  Informational notices in both English and Spanish may also be found in Section 7.

 

If members have questions about their Medi-Cal eligibility or Medi-Cal benefits, they should not file a complaint with the Alliance.  We do not process such complaints.  Member eligibility criteria and Medi-Cal benefits are determined by the State of California and the U.S. Department of Health and Human Services.  Members should be directed to their County Medi-Cal Eligibility Worker or the local Social Security Administration office if they have questions about their Medi-Cal eligibility.

 

Healthy Families members with questions about their eligibility should be directed to the Healthy Families Program at 1-866-848-9166.

 

Healthy Kids and Alliance Care IHSS members may file complaints about their eligibility and/or disenrollment with the Alliance.

 

If the member has any questions about the steps in the member grievance process, please have the member call the Grievance Coordinator at (831) 430-5525 or toll free at 800-700-3874, ext. 5525.  The member may also call to make an appointment to come into an Alliance office to speak with someone in person.

 

6.5    Member Rights in the Alliance Grievance Process top

 

A member of Central Coast Alliance for Health has the following rights in the grievance process:

 

1.            A member can authorize a friend or a family member to act on his/her behalf in the grievance process.

2.      If the member does not speak English fluently, s/he has the right to interpreter services.

3.      The member has the right to obtain representation by an advocate or legal counsel to assist them in resolving the grievance. 

4.      The State Office of the Ombudsman will help Medi-Cal members who are having problems with the Alliance.  The toll free number is 1-(888) 452-8609.

5.      Medi-Cal members have the right to file a request for a State Fair Hearing with the California Department of Social Services without going through the Alliance grievance process, as long as the event which caused dissatisfaction occurred within ninety (90) days of the day the hearing request is filed.

6.      Healthy Families, Healthy Kids, and Alliance Care IHSS members have the right to request a review by the California department of Managed Health Care if they are unhappy with the Alliance’s resolution to their complaints or if a complaint remains unresolved after thirty (30) days.

7.      Healthy Families, Healthy Kids, and Alliance Care IHSS members have the right to request an Independent Medical Review (IMR) if their complaints involves a denial or, or partial denial of, a health care service if it was determined that the service is not medically necessary.

 

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