EQR Administrative Reviews. The Contractor shall assist the EQRO in completing all Contractor reviews and evaluations in accordance with established protocols previously described. The Contractor shall assist the Department and the EQRO in identification of Provider and Member information required to carry out annual, external independent reviews of the quality outcomes, and timeliness of on-site or off-site medical chart reviews. Timely notification of Providers and subcontractors of any necessary medical chart review shall be the responsibility of the Contractor.
Appears in 5 contracts
Samples: Managed Care Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Contract, Medicaid Managed Care Contract
EQR Administrative Reviews. The Contractor shall assist the EQRO in completing all Contractor reviews and evaluations in accordance with established protocols previously described. The Contractor shall assist the Department and the EQRO in identification of Provider and Member Enrollee information required to carry out annual, external independent reviews of the quality outcomes, and timeliness of on-site or off-off- site medical chart reviews. Timely notification of Providers and subcontractors Subcontractors of any necessary medical chart review shall be the responsibility of the Contractor.
Appears in 3 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract, Medicaid Managed Care Contract
