FAQ Directory: Health Plan Accreditation

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3.15.2019 UM 8, Element A MAXIMUS What factors are scored “Met” for UM 8, Element A if an upheld denial was sent to MAXIMUS?

Factors 7-13 should be scored as “Met” for upheld denials sent to MAXIMUS.

This applies to the following Programs and Years:
HP 2018|MBHO 2018|UM-CR-PN 2018