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Asuris Agreement
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06. June
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2018-06-05 10:00 AM - Commissioners' Agenda
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Asuris Agreement
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Last modified
1/18/2019 2:03:50 PM
Creation date
1/18/2019 2:03:02 PM
Metadata
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Meeting
Date
6/5/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
k
Item
Request to Approve an Agreement between Asuris Northwest Health and the Kittitas County Public Health Department
Order
11
Placement
Consent Agenda
Row ID
45299
Type
Agreement
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Level Two Appeals meetings are scheduled upon request. We will make our best efforts to provide <br />proposed tJmes and dales within sixty (60) business days of the Company's receipt of your Level Two <br />Appeal request. Once you have been provided the proposed times and dales you will have five (5) <br />business days to notify us of your preferred time and date for the Level Two Appeal hearing . If you rail to <br />notify us or your preferred Ume and dale for the Leve l, Two Appeal hearing with in five (5) business days of <br />receiving the proposed times and dates, the hearlng wlU be set on one of the proposed times and dates . <br />Prior to the Level Two Appeal hearing, you will receive a "Notice of Hearing." The "Notice of Hearing' <br />will Indicate Ille followin g: <br />• Date of the hearing <br />• Time or the hearing <br />• Location of the hearing <br />• Names of the members of the Level Two Appeal panel <br />• Reasons for the adverse action <br />• Names of witnesses who will testify on Company's behalr al the hearing <br />• Your rights at the hearing <br />At the hearing, you have the following rights: <br />• To have representation by an attomey or other person of your choice <br />• To have a court reporter make a record of the proceedings at an additional cost to you. Costs <br />associated with the court reporter must be paid by you prior to receiving a copy of the transcript <br />• To call witnesses and to examine/cross-examine witnesses <br />• To present relevant evidence (as determined by the panel) <br />• To submit a written statement at the close of the hearing <br />Approximately thirty (30) calendar days before tho scheduled dale of the hearing, a Level Two Appeal <br />binder will be sent to you or your representative _ The binder will include, among olher th ings, the <br />documentation reviewed by the Credenlla(lng Com mittee Initially and at the Level One Appeal. as well as <br />ariy documenr,Jlion submitted by yc,u , 1r you wtsh ,lo submit additfonaJ information to further supplement <br />the Level Two Appeal binder, this Informat ion , ae well as a list of wllllesses that you plan to call, examine, <br />and cross ex.imlne at the hearing , must be received no later than fourteen (14) calendar day& pri9r to <br />the hearing date. Unloas otherwise allowed by the level Two Appeal panel, doc~menlation and wllnruises <br />not submitted at least fourteen (14) calendar daye prior lo the hearing date will not be considered by lNe <br />Level Two Appeal panel and should not be brought lo the heating for ~h_e panel's eonslderation. The only <br />exception Is that you may submJt a written statement at the close of the hearing. <br />If lhe Le11el Two Appeal binder is later supplemented with new or revised Information prior to the heating, <br />you will receive copies of the new or revised material as soon as practicable before the scheduled date of <br />lhe hearing. After the Level Two Appeal bi nder has been finalized, it will be forwarded to lhe Level TWO <br />Appeal panel foF rev iew prior lo the hearlng. Neither you nor Company may supplement the l>lnder within <br />thirteen (13) catendar days prior lo (He hearing, unless a written request for an excepUon is approved b.y <br />lhe Chalr of lhe Level Two Appeal panel. <br />You will receive written notification of the Level Two Appeal decision within fifteen 115) business days of <br />the hearing If the Level Two Appeal panel cannot reach a decision within fifteen f15) buslnasa days, or <br />If additional informatl on Is needed to reach a decision, you will be informed of any additional informaUon <br />needed and a new date by which the decision will be made. <br />Decisions of tJha Level Two Appeal panel related to contract terminatione are deemed final. Once a <br />decialon has been made by the Level Two Appeal panel, you have completed the Provider <br />Contract Tennlnation Appeals process. If you are not aatlsflod with our decision after completlng <br />the Provider Cont, ct Termination Appeal procmu1 and want to continue t.o dispute the issue(s), <br />you must lnl6at, the appropriate proces (e11i as ouUlned In your Provider con1racl <br />A,url& Standard MGA Exhibit O Dispute Resotu11on Process A18816864AA Pa11e 8 ofQ
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