# Medicare Program; Improvements to the Medicare+Choice Appeal and Grievance Procedures
> **Centers for Medicare and Medicaid Services** · Final rule with comment period. · Published 2003-04-04 · 68 FR 16652
## Document
- **Document number:** 03-8204
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 68 FR 16652
- **CFR reference:** 42 CFR 422
- **Publication date:** 2003-04-04
- **HHS docket:** CMS-4024-FC
## Abstract

This final rule with comment period responds to comments on the January 24, 2001, proposed rule regarding improvements to the Medicare+Choice (M+C) appeal and grievance procedures. It establishes new notice and appeal procedures for enrollees when an M+C organization decides to terminate coverage of provider services. The January 24, 2001 proposed rule was published as a required element of an agreement entered into between the parties in Grijalva v. Shalala, civ. 93-711 (U.S.D.C. Az.), to settle a class action lawsuit. This rule also specifies a Medicare-participating hospital's responsibility for issuing discharge or termination notices under both the original Medicare and M+C programs, amends the Medicare provider agreement regulations with regard to beneficiary notification requirements, and amends M+C enrollee grievance procedures.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2003/04/04/03-8204/medicare-program-improvements-to-the-medicarechoice-appeal-and-grievance-procedures)
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