Quality Committees and Meetings. A. The Contractor shall have in place an organizational Quality Improvement Committee (QIC) that shall be responsible for all quality activities. The QIC structure shall be chaired by the Contractor’s Medical Director or Quality Improvement Director, be interdisciplinary and include administrative staff assigned to this Contract and Kentucky-based providers of a variety of medical disciplines including behavioral health, health professions and individual(s) with specialized knowledge and experience with Individuals with special health care needs and/or receiving Population Health Management services. The QIC shall analyze and evaluate the results of QM/QI activities, recommend policy decisions, ensure that providers are involved in the QM/QI program, institute needed action to address deficiencies, and ensure that appropriate follow-up occurs. The QIC shall maintain records that document the QIC’s activities, meeting minutes, findings, recommendations, actions, and results. Records shall be available for review upon Department request, during the annual on-site EQRO review, and/or for NCQA accreditation review. The Contractor shall provide the Department’s Chief Medical Officer with ten (10) Days advance notice of all regularly scheduled QIC meetings with an agenda and related meeting materials, as available, to support determination of attendance.
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