Common use of Quality Assessment and Performance Improvement Clause in Contracts

Quality Assessment and Performance Improvement. The Contractor will submit reports of Quality Assessment and Performance Improvement (QAPI) activities, including, a QA Workplan, Plan of Correction (POC), Utilization Management (UM) activities and Workplan, Program Integrity Workplan and Quality Measures documentation in accordance with the periodicity contained in §11 of this Contract and the Policy and Procedure Guide. The Contractor shall collect information to report all HEDIS measures designated by SCDHHS in this Contract and the MCO Policy and Procedure Guide. The Contractor is to begin collecting HEDIS measures in calendar years 2009-2010 and submit them to SCDHHS. However, the Contractor is not required to submit audited HEDIS results to SCDHHS until June 15, 2012 for the 2011 calendar year. This requirement may be adjusted if the Contractor is in the process of obtaining NCQA certification but has not completed the entire process.

Quality Assessment and Performance Improvement. The Contractor will submit reports of Quality Assessment and Performance Improvement (QAPI) activities, including, a QA Workplan, Plan of Correction (POC), Utilization Management (UM) activities and Workplan, Program Integrity Workplan and Quality Measures documentation in accordance with the periodicity contained in §11 of this Contract and the Policy and Procedure Guide. The Contractor shall collect information to report all HEDIS measures designated by SCDHHS in this Contract and the MCO Policy and Procedure Guide. The Contractor is to begin collecting should collect HEDIS measures in calendar years 2009-2010 and submit them this information to SCDHHS. However, the Contractor is not required to submit audited HEDIS results to SCDHHS until June 15, 2012 for the 2011 calendar year. This requirement may be adjusted if the Contractor is in the process of obtaining NCQA certification but has not completed the entire process.

Quality Assessment and Performance Improvement. The Contractor will submit reports of Quality Assessment and Performance Improvement (QAPI) activities, includingincluding a quality assessment (QA) work plan, a QA Workplan, Plan plan of Correction correction (POC), Utilization Management utilization management (UM) activities and Workplanwork plan, Program Integrity Workplan program integrity work plan and Quality Measures quality measures documentation in accordance with the periodicity contained in §11 of this Contract and the MCO Policy and Procedure Guide. The Contractor shall collect information to and report all HEDIS measures designated by SCDHHS the Department in this Contract and the MCO Policy and Procedure Guide. The Contractor is to begin collecting should collect HEDIS measures in on calendar years 2009-2010 year basis and submit them this information to SCDHHSDepartment. However, the Contractor is not required to submit audited HEDIS results to SCDHHS Department until June 15, 2012 for the 2011 calendar year. This requirement may be adjusted if the Contractor is in the process of obtaining NCQA certification but has not completed the entire process.