In Ohio, we must finalize and communicate in writing our denials for expedited requests within 48 hours. After you have received our notice to participate in a peer-to-peer discussion, and a decision has been determined that you do not agree with, then your next step will be to follow the appeal process. A discussion can occur after the denial has been communicated,
but that discussion cannot result in a re-opening of the request.
Please be reminded that any denial may still be appealed through the required process for pre-service appeals.
We again apologize for the inconvenience for the immediate change in the pre-denial communication. We will continue to work towards building a collaborative partnership with you, and are committed to improving our timing and communications to all of you when conditions require a change in our processes.