(A)Following the bureau of managed health care's determination that the request does not meet one of the criteria for just cause termination of managed care plan membership, the Ohio department of medicaidODJFS bureau of managed health care must send a notice to an individual.

(B)The notice mustshall contain a clear and understandable statement that the request was denied, explain the response why the request for just cause termination of managed care plan membership did not meet the criteria for just cause termination of managed care plan membership, cite the applicable regulations, explain the individual's right to and the method of obtaining a state hearing, and contain a telephone number to call about free legal services.

(C)JFS 01711 "Notice of Denial of Just Cause Request for Termination ofRight to Terminate Membership in Your Managed Care Plan Membershipfor Just Cause," JFS 01711 (rev. 8/2003), mustshall be used.