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AHIP AHM-510 Exam - Topic 4 Question 58 Discussion

Posted by Stephaine on Oct 21, 2026 at 02:29 PM

Health plans are allowed to appeal rules or regulations that affect them. Generally, the grounds for such appeals are limited either to procedural grounds or jurisdictional grounds. The Kabyle Health Plan appealed the following new regulations:

Appeal 1 - Kabyle objected to this regulation on the ground that this regulation is inconsistent with the law.

Appeal 2 - Kabyle objected to this regulation because it believed that the subject matter was outside the realm of issues that are legal for inclusion in the regulatory agency's regulations.

Appeal 3 - Kabyle objected to the process by which this regulation was adopted.

Of these appeals, the ones that Kabyle appealed on jurisdictional grounds were

Suggested Answer: B

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4 comments · newest first
CH
Chandra 10 hours ago
I think Appeal 2 is definitely jurisdictional since it questions the legality of the subject matter. But I'm not sure about Appeal 1.
PR
Providencia 6 days ago
I feel like we had a practice question similar to this. If I recall correctly, jurisdictional grounds are usually about whether the agency has the right to make those regulations.
LA
Latosha 11 days ago
I'm a bit confused. I thought Appeal 3 was more about the process, which seems procedural rather than jurisdictional.
SE
Selma 16 days ago
I remember we discussed jurisdictional grounds being about the authority of the agency. So, I think Appeals 1 and 2 might fit that.
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