Frequently Asked Questions
Once I mail my appeal to my interdisciplinary team or the quality improvement coordinator, how will I be notified of the actions to be taken? You will receive a form called, the “Notice of Receipt” showing that your appeal was received and a letter telling you when the review is scheduled.
When are appeal reviews scheduled? Appeal reviews are scheduled in the mornings of Tuesdays, Wednesdays and Thursdays. Reviews are also scheduled at other times and dates, per member’s request.
If I can’t make my scheduled appeal review, do I have the opportunity to ask for an extension? Yes. You have the right to ask for one (1) extension of 14 calendar days. To request an extension, you must contact the CMO Quality Improvement Coordinator at (414) 289-5738. The CMO Quality Improvement Coordinator will tell you the new appeal date and time.
I received a notice of receipt along with an appeal date and time. What does this mean? This confirms that the CMO Grievance Committee will review your problem. You will be invited to attend the review and present information to the Committee as to why you feel your request should be approved. You may bring a friend, relative, significant other or any other person or advocate.
If you need assistance with presenting your case to the CMO Grievance Committee, contact the CMO Quality Improvement Coordinator at (414) 289-5738.You can also contact an advocate from Disability Rights Wisconsin at (414) 773-4646.