QM and UM Program Reporting Requirements Clause Samples

QM and UM Program Reporting Requirements. The Contractor agrees to: a. Provide the Department with uniform QM, UM, and Member satisfaction/complaint data, in a format to be determined by the Department, on a regular basis; b. Collaborate with the Department in carrying out data validation steps; c. Maintain and make available to the Department, upon request, studies, reports, protocols, standards, worksheets, minutes or other such documentation as may be appropriate; and d. Submit reports based on the most current version of HEDIS measures. The Contractor agrees to comply with all QM and UM program reporting requirements and time frames outlined in Exhibit M(1) or this Agreement, Quality Management & Utilization Management Program Requirements. The Department will, on a periodic basis, review the required reports and make changes to the information/data and/or formats requested based on the changing needs of the HealthChoices Program. The Contractor must comply with all requested changes to the report information and formats as deemed necessary by the Department. Copies of current QM and UM reporting requirements can be found in the HealthChoices Proposers' Library.