28.06.2013 Views

Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Letter to CMS - Medicaid Managed Care Policies - Agency for ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Standard VI: Provider Services<br />

CONTRACT<br />

SECTION<br />

14. Written Notice of<br />

Outcomes <strong>for</strong><br />

Provider<br />

Complaints<br />

CC-VII.I.5.e<br />

AGENCY FOR HEALTHCARE ADMINISTRATION<br />

MANAGED CARE ORGANIZATIONS<br />

Compliance Moni<strong>to</strong>ring Tool with Specific Contract Standards<br />

CONTRACT REQUIREMENT COMPLIANT SCORING<br />

The health plan provides a written notice<br />

of the outcome of the review <strong>to</strong> the<br />

provider.<br />

Results <strong>for</strong> Standard VI Provider Services<br />

Score # Elements<br />

Met<br />

Partially Met<br />

Not Met<br />

Not Applicable<br />

Total # Elements<br />

Total # Applicable Elements<br />

Percent of Elements Met<br />

Yes<br />

No<br />

Met<br />

Partially Met<br />

Not Met<br />

DOCUMENTS<br />

REVIEWED<br />

State of Florida Compliance Moni<strong>to</strong>ring_Standard_VI_F2_07_11<br />

Page 6<br />

FINDINGS

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!