Common use of Internal Quality Assurance Program Clause in Contracts

Internal Quality Assurance Program. a) Contractor must operate a quality assurance program which is approved by SDOH and which includes methods and procedures to control the utilization of Medicaid services consistent with PHL Article 49 and 42 CFR Part 456. Recipients' records must include information needed to perform utilization review as specified in 42 CFR Sections 456.111 and 456.211. The Contractor's approved quality assurance program must be kept on file by the Contractor and the LDSS. The Contractor shall not modify the quality assurance program without the prior written approval of the SDOH, and notice to the LDSS.

Internal Quality Assurance Program. a) Contractor must operate a quality assurance program which is approved by SDOH and which includes methods and procedures to control the utilization of Medicaid services consistent with PHL Article 49 and 42 CFR Part 456. Recipients' records must include information needed to perform utilization review as specified in 42 CFR Sections 456.111 and 456.211. The Contractor's Contractors approved quality assurance program must be kept on file by the Contractor and the LDSS. The Contractor shall not modify the quality assurance program without the prior written approval of the SDOH, and notice to the LDSS.

Internal Quality Assurance Program. a) Contractor must operate a quality assurance program which is approved by SDOH and which includes methods and procedures to control the utilization of Medicaid FHPlus services consistent with PHL P.H.L. Article 49 and 42 CFR Part 456456 and Article 48 and 49 of the Insurance Law. Recipients' records must include information needed to perform utilization review as specified in consistent with 42 CFR Sections 456.111 and 456.211. The Contractor's approved quality assurance program must be kept on file by the Contractor and the LDSSContractor. The Contractor shall not modify the quality assurance program without the prior written approval of the SDOH, and notice to the LDSS.

Internal Quality Assurance Program. a) Contractor must operate a quality assurance program which is approved by SDOH and which includes methods and procedures to control the utilization of Medicaid services consistent with PHL P H.L. Article 49 and 42 CFR Part 456. Recipients' Recipients records must include information needed to perform utilization review as specified in 42 CFR Sections "456.111 and 456.211. The Contractor's approved quality assurance program must be kept on file by the Contractor and the LDSS. The Contractor shall not modify the quality assurance program without the prior written approval of the SDOH, and notice to the LDSS.