Medical Record Review. (1) If the Health Plan is not accredited, the Health Plan shall conduct reviews of enrollees’ medical records to ensure that PCPs provide high quality health care that is documented according to established standards, including subparagraphs (2) through (7) below.
Appears in 5 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)
Medical Record Review. (1) If the Health Plan is not accredited, or if the Health Plan is accredited by an entity, that does not review the Medical Records of the Health Plan's PCPs, then the Health Plan shall conduct reviews of enrolleesEnrollees’ medical records Medical Records to ensure that PCPs provide high quality Quality health care that is documented according to established standards, including subparagraphs (2) through (7) below.
Appears in 2 contracts
Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
Medical Record Review. (1) If the Health Plan is not accredited, or if the Health Plan is accredited by an entity, that does not review the Medical Records of the Health Plan's PCPs, then the Health Plan shall conduct reviews of enrolleesEnrollees’ medical records Medical Records to ensure that PCPs provide high quality health care that is documented according to established standards, including subparagraphs (2) through (7) below.
Appears in 2 contracts
Samples: Contract (Wellcare Health Plans, Inc.), Wellcare Health Plans, Inc.
