Pennsylvania Pennsylvania GR – 4.19.19 I. Scope and Applicability A. Who is subject to the state’s grievance regulations? Managed care plans 40 P.S. § 991.2161 HMOs? Yes. Insurers? Yes, if the insurer is acting as a managed care plan. Utilization Review Organizations? No. ACOs? Yes, if the ACO is acting as a managed care plan. […]

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