Workers' Compensation Medical Cost Containment: Updated National Inventory

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Table 15  Details of Dispute Resolution within Managed Care Arrangements as of January 1, 2008 

Many states that regulate managed care organizations require elements within those plans that encourage communication and informal dispute resolution. This table documents those regulatory strategies in use as of January 1, 2008.
State	Dispute Resolution Elements Required within Managed Care							An Explanation to Grievant on Rights to Pursue	Filing of an Annual Report of All Grievances to the Agency	Other
	Written Grievance Procedure	Toll Free Number for the Reporting of Grievances	Prompt Review and Response to Grievant	Expedited Procedure for Emergency Care	Peer Review	An Appeal Process	Required Time Frame for Grievance Decision
Sample State 1	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Sample State 2	Yes					Yes	Yes		Yes
Notes: