8.7 Appeal Process for Providers

8.7 Appeal Process for Providers amcelwee Fri, 08/26/2016 - 13:51

After a utilization review, the CRS program gives the provider a report of the findings.

The provider may appeal the report within 30 days of receiving the findings by submitting a written report that includes supporting documentation disputing the findings.

The CRS program reviews the provider’s appeal and sends the outcome of the review to the provider.