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
31. Cultural Competency
Plan (CCP)
42 CFR 438.206
CC-VIII.A.4.a.
32. Providing Cultural
Services
CC-VIII.A.4.a.
33. Annual Review of CCP
42 CFR 438.206
CC-VIII.A.4.a.
34. Distribution of CCP
42 CFR 438.206
CC-VIII.A.4.b.
35. Annual Evaluation of
CCP
42 CFR 438.206
CC-VIII.A.4.c.
The health plan has a comprehensive
written CCP to ensure that services are
provided in a culturally competent
manner to all enrollees, including those
with limited English proficiency.
The CCP describes how providers, health
plan employees, and systems effectively
provide services to people of all cultures,
races, ethnic backgrounds, and religions
in a manner that recognizes, values,
affirms, and respects the worth of the
individual enrollees and protects and
preserves the dignity of each.
The CCP is updated annually and
submitted to BMHC by October 1 for
approval for implementation by January
1 of each contract year.
The health plan distributes a summary of
the CCP to network providers. The
summary details how the provider can
request a hard copy of the CCP at no
charge.
The health plan completes an annual
evaluation of the effectiveness of its
CCP. A description of the evaluation, its
results, the analysis of the results and
interventions to be implemented are
described in the annual CCP submitted to
the Agency.
Yes
No
Yes
No
Yes
No
N/A
Yes
No
Yes
No
Met
Partially Met
Not Met
Met
Partially Met
Not Met
Met
Partially Met
Not Met
Met
Partially Met
Not Met
DOCUMENTS
REVIEWED
FINDINGS
State of Florida Compliance Monitoring_Standard_VIII_F2_07_11
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