Appeals Unit

# of eligibility appeals received by category

84Sep 2020

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Notes on Methodology

Partners
  • Office of the Attorney General
  • DVHA Health Access Eligibility & Enrollment Unit
Story Behind the Curve

This metric tracks the number of eligibility appeal requests received during a month by category.  We have identified the five most common categories of appeals.  This metric is for tracking/monitoring purposes.  The volume of appeals is beyond the health care appeals team (HCAT)’s control since appeals requests come from members.  However, it is important to track the overall volume in order to identify program-wide trends through appeals.

Last updated:  10/15/2020

Strategy

N/A since this is a tracking metric.  HCAT will adhere to standard operating procedures for handling appeal requests and meeting established SLA timelines.

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy