37.81.330    BIG SKY RX GRIEVANCE AND APPEAL PROCEDURES

(1) All decisions of the department related to the administration of the Big Sky Pharmacy Rx program are reviewable using the procedures stated at ARM 37.5.101, 37.5.304, 37.5.307, 37.5.313, 37.5.318, 37.5.322, 37.5.325, 37.5.328, 37.5.331, and 37.5.334.

(2) An applicant contesting a denial, or an enrollee or guardian contesting a benefit or enrollment denial, benefit reduction, disenrollment, closure, or termination of Big Sky Rx may request a fair hearing.

(3) If a written request for hearing is not received by the department within 90 days of the mailing date of a notice of adverse action, the hearing officer may deny a hearing as provided in ARM 37.5.313.

History: 53-2-201, 53-6-1004, 53-6-1011, MCA; IMP, 53-2-606, MCA; NEW, 2006 MAR p. 336, Eff. 2/10/06.