​​​​​​​​​​​​​​​​​​​​​​​​​The Appeals and Complaints Branch uses monitoring and oversight techniques to ensure members have access to quality services. This approach involves the Department for Medicaid Services, managed care organizations, providers and members. The Disease and Case Management Branch staff is responsible for the following:

• Monitoring the Early and Periodic Screening, Diagnostic and Treatment benefits that are available to Medicaid members younger than 21
• Coordinating fair hearing requests for the denial of Medicaid services.
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