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

Standard VIII: Quality Improvement Program
AGENCY FOR HEALTHCARE ADMINISTRATION
MANAGED CARE ORGANIZATIONS
Compliance Monitoring Tool with Specific Contract Standards
CONTRACT SECTION CONTRACT REQUIREMENT COMPLIANT SCORING
CC-VIII.A.3.a.1-4
28. REFORM: Provider
Satisfaction Survey
Exhibit 8
29. Performance Measures
(PMs)
CC-VIII.A.3.c.1
30. Consumer Assessment
of Health Plans Survey
(CAHPS)
CC-VIII.A.3.d
similar means.
f. Each PIP includes a statistically
significant sample of enrollees.
The health plan submits a provider
satisfaction survey plan to BMHC for
written approval by the end of the eighth
month of this Contract.
a. The plan includes the questions
to be asked.
b. The health plan conducts the
survey at the end of the first year
of this Contract.
c. The results of the survey are
reported to BMHC within four
(4) months of the beginning of
the second year of this Contract.
The health plan collects data on enrollee
PMs, as defined by HEDIS, or otherwise
defined by the Agency.
This standard may be not applicable for
new plans.
The Agency conducts an annual CAHPS.
The health plan provides an action plan
to address the results of the survey
within 2 months of receipt of the written
request from the Agency.
This standard may be not applicable for
new plans.
a. Yes
No
N/A
b. Yes
No
N/A
c. Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Met
Partially Met
Not Met
Met
Partially Met
Not Met
Met
Partially Met
Not Met
DOCUMENTS
REVIEWED
State of Florida Compliance Monitoring_Standard_VIII_F2_07_11
Page 9
FINDINGS