Common use of Monitoring Compliance Clause in Contracts

Monitoring Compliance. The PIHP must develop policies and procedures regarding wait times for appointments and care. The PIHP shall conduct surveys and site visits to monitor compliance with these standards and shall make them available to DHS upon request. If issues are identified, either by the PIHP or by the Department, the PIHP must take corrective action so that providers meet the PIHP’s standards and improve access for members. The Department will investigate complaints received of PIHPs that exceed standards for waiting times for care and waiting time for appointments.

Monitoring Compliance. The PIHP must develop policies and procedures regarding wait times for appointments and care. The PIHP shall conduct surveys and site visits to monitor compliance with these standards for waiting times for care and waiting time for appointments and shall make them this available to DHS upon request. If issues are identified, either by the PIHP or by the Department, the PIHP must take corrective action so that providers meet the PIHP’s standards and improve access for members. The Department will investigate complaints received of PIHPs the PIHP that exceed standards for waiting times for care and waiting time for appointments.