Cultural Competency. 96 2.11 PROVIDER SERVICES 96 2.11.1 Provider Manual 97 2.12 MEDICAL MANAGEMENT AND QUALITY ASSURANCE 98 2.12.01 General 98 2.12.02 Medical Director's Office 98 2.12.03 Utilization Review and Quality Assurance (UR/QA) 99 2.12.04 Care Transitions 105 2.12.05 Provider Credentialing 105 2.12.06 Chief Diversity, Equity, and Inclusion Officer 106 2.13 OPERATIONAL DATA REPORTING 107 2.13.01 General 107 2.13.02 Encounter Data Reporting. 108
Appears in 9 contracts
Sources: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Cultural Competency. 96 94 2.11 PROVIDER SERVICES 96 95 2.11.1 Provider Manual 97 95 2.12 MEDICAL MANAGEMENT AND QUALITY ASSURANCE 98 96 2.12.01 General 98 96 2.12.02 Medical Director's Office 98 96 2.12.03 Utilization Review and Quality Assurance (UR/QA) 99 98 2.12.04 Care Transitions 105 103 2.12.05 Provider Credentialing 105 2.12.06 Chief Diversity, Equity, and Inclusion Officer 106 104 2.13 OPERATIONAL DATA REPORTING 107 105 2.13.01 General 107 105 2.13.02 Encounter Data Reporting. Reporting 106 2.13.03 Grievance and Appeals Data 108 2.13.04 EOHHS Quality Assurance Data 108
Appears in 3 contracts
Sources: Medicaid Managed Care Services Agreement, Contract for Medicaid Managed Care Services, Medicaid Managed Care Services Agreement
Cultural Competency. 96 95 2.11 PROVIDER SERVICES 96 95 2.11.1 Provider Manual 97 96 2.12 MEDICAL MANAGEMENT AND QUALITY ASSURANCE 98 96 2.12.01 General 98 96 2.12.02 Medical Director's Office 98 97 2.12.03 Utilization Review and Quality Assurance (UR/QA) 99 98 2.12.04 Care Transitions 105 104 2.12.05 Provider Credentialing 105 2.12.06 Chief Diversity, Equity, and Inclusion Officer 106 104 2.13 OPERATIONAL DATA REPORTING 107 105 2.13.01 General 107 105 2.13.02 Encounter Data Reporting. 108Reporting 107 2.13.03 Grievance and Appeals Data 109 2.13.04 EOHHS Quality Assurance Data 109
Appears in 3 contracts
Sources: Contract for Medicaid Managed Care Services, Medicaid Managed Care Services Agreement, Contract for Medicaid Managed Care Services