SMMCAC Complaints, Appeals, and Fair Hearings Subcommittee
![](https://www.txinsight.com/wp-content/uploads/2019/03/gavel-3577255_1920-800x450.jpg)
Summary/Charge: Focuses on more effectively leveraging complaints data to identify potential problems in the Medicaid program, opportunities for improved MCO contract oversight and increasing program transparency. Also focuses on appeals and fair hearings processes, including implementation of an independent external medical reviewer.
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