Provider Profiling. The HMO must conduct PCP and other Provider profiling activities at least annually. As part of its QAPI Program, the HMO must describe the methodology it uses to identify which and how many Providers to profile and to identify measures to use for profiling such Providers. Provider profiling activities must include, but not be limited to:
Appears in 15 contracts
Samples: Explanatory Note (Centene Corp), Centene Corp, Centene Corp
