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SCCMHA
Staff
Sentri & Providers
24 Hour Mobile Response & Stabilization Services (MRSS):
(989) 272-0275
-
MRSS Scheduled Contact Request
24 Hour Crisis Hotline
(989) 792-9732
or
(800) 233-0022
| Call or text 9-8-8 (National 9-8-8 Suicide & Crisis Lifeline)
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Staff
Sentri
SCCMHA
(800) 233-0022
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CCBHC - Certified Community Behavioral Health Clinic
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Appeals and Grievances
First & Last Name
*
1
A Medicaid Grievance must be completed within how many days?
*
15
30
45
90
2
Questions about the Appeals and Grievance process should be directed to:
*
The Help Desk
Customer Service / Recipient Rights Supervisor or Director
The Chief Executive Officer
The Finance Department
3
Consumers with Medicaid wishing to file a Medicaid Fair Hearing must go through the Local Appeal process before sending a request for a Medicaid Fair Hearing:
*
True
False
4
Consumers with Medicaid may request continuation of services if requested within ___ days of the effective date of the Adverse Benefit Determination Notice.
*
10
15
20
30
5
Any consumer of SCCMHA services may file a Grievance if they are dissatisfied at any point during the delivery of mental health services or supports.
*
True
False
6
A Medicaid Local Appeal must be completed within how many days of the receipt of the request for an appeal.
*
10
30
45
60
7
Adverse Benefit Determination Notice is required to be given or sent at the time of a denial of service.
*
True
False
8
Consumers of SCCMHA services must be given Adverse Benefit Determination Notice for:
*
Reduction of service
Suspension of Services
Termination of Services
All of the Above
9
Notice of Benefit Determination for Medicaid consumers is required to be sent when a suspension, reduction, or termination of services is planned. This Notice of Benefit Determination must be sent:
*
21 calendar days before the effective date
5 business days before the effective date
10 calendar days before the effective date
As soon as the action is known
10
Grievances is completed by the
*
Recipient Rights Investigator
Supervisor of the case holder
Supervisor of Customer Service
Police
Submit