Quality Reporting. a. Health Plan shall submit to SDOH copies of all quality reports, measures, and findings generated from Health Plan’s D-SNP(s) quality management programs as required by and submitted to CMS. b. Health Plan shall notify SDOH in the event Health Plan receives less than 3.0 Medicare Star rating on either its Part C or Part D scores for any D-SNP. Health Plan shall provide SDOH with a copy of any document submitted to CMS outlining the steps proposed or implemented to improve the low score.
Appears in 5 contracts
Sources: State Medicaid Agency Contract, State Medicaid Agency Contract, State Medicaid Agency Contract