Family Care and Family Care Partnership: Notice of Adverse Benefit Determination Forms

Family Care and Family Care Partnership managed care organizations (MCOs) must provide a written notice of adverse benefit determination for a termination, denial, or reduction of services in the benefit package. This notice explains the member's right to appeal the MCO's decision. For detailed information about notice of adverse benefit determination requirements, please see the grievance and appeals article in the Family Care contract

Notices

Related letters

Member request forms

Last Revised: February 11, 2019