Common use of Quality Management Program Clause in Contracts

Quality Management Program. Contractor shall maintain a quality management program to review the quality of Covered Services provided by Participating Providers and other subcontractors. Contractor’s quality management program shall be subject to review by Covered California annually to evaluate Contractor’s compliance with requirements set forth in the Quality, Network Management and Delivery System Standards. Contractor shall coordinate and cooperate with Covered California in developing the Quality, Network Management and Delivery System Standards, including (i) participating in meetings and other programs as reasonably requested from time to time by Covered California, (ii) providing mutually agreed upon data and other information required under the Quality, Network Management and Delivery System Standards, and (iii) as otherwise reasonably requested by Covered California. The parties acknowledge and agree that quality related activities contemplated under this Article 4 will be subject to and conducted in compliance with any and all applicable laws, rules and regulations including those relating the confidentiality of medical information and will preserve all privileges set forth at Health and Safety Code § 1370.

Appears in 11 contracts

Samples: Covered California for Small, Covered California for Small, Covered California Qualified Health Plan Issuer Contract

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Quality Management Program. Contractor shall maintain a quality management program to review the quality of Covered Specialized Health Care Services provided by Participating Providers and other subcontractors. Contractor’s quality management program shall be subject to review by Covered California annually to evaluate Contractor’s compliance with requirements set forth in the Quality, Network Management and Delivery System Standards. Contractor shall coordinate and cooperate with Covered California in developing the Quality, Network Management and Delivery System Standards, including (i) participating in meetings and other programs as reasonably requested from time to time by Covered California, (ii) providing mutually agreed upon data and other information required under the Quality, Network Management and Delivery System Standards, and (iii) as otherwise reasonably requested by Covered California. The parties acknowledge and agree that quality related activities contemplated under this Article 4 will be subject to and conducted in compliance with any and all applicable laws, rules and regulations including those relating the confidentiality of medical information and will preserve all privileges set forth at Health and Safety Code § 1370.. Consistent with Covered California's mission to promote better care, better health and lower cost as part of a Quality Improvement Strategy, Contractor agrees to:

Appears in 5 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

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Quality Management Program. Contractor shall maintain a quality management program to review the quality of Covered Services provided by Participating Providers and other subcontractors. . Contractor’s quality management program shall be subject to review by Covered California annually to evaluate Contractor’s compliance with requirements set forth in the Quality, Network Management and Delivery System Standards. . Contractor shall coordinate and cooperate with Covered California in developing the Quality, Network Management and Delivery System Standards, including (i) participating in meetings and other programs as reasonably requested from time to time by Covered California, (ii) providing mutually agreed upon data and other information required under the Quality, Network Management and Delivery System Standards, and (iii) as otherwise reasonably requested by Covered California. . The parties acknowledge and agree that quality related activities contemplated under this Article 4 will be subject to and conducted in compliance with any and all applicable laws, rules and regulations including those relating the confidentiality of medical information and will preserve all privileges set forth at Health and Safety Code § 1370. .

Appears in 1 contract

Samples: Covered California Qualified Health Plan Issuer Contract

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