The Complaints, Appeals and Fair Hearings subcommittee focuses on complaints data to identify possible problems in the Medicaid program, opportunities for improving MCO contract oversight and increasing program transparency. It also focuses on appeals and fair hearings processes, including implementation of an independent external medical reviewer.
Members: Marcella Ford, Tyra Hinton, Karl Serrao, Shahid Rahman, MD, Robert Shane Kernell
- Call to order, introductions, and roll call. The meeting was convened by Karl Serrao, MD. A quorum was present.
- Consideration of November 6, 2025, draft meeting minutes. The minutes were approved as drafted
- Fair Hearings decisions data for Medically Dependent Children Program (MDCP) eligibility appeals.
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