Common use of Specific Required Components of the QI Program Clause in Contracts

Specific Required Components of the QI Program. a. The Health Plan’s governing body shall oversee and evaluate the QI program. The role of the Health Plan’s governing body shall include providing strategic direction to the QI program, as well as ensuring the QI plan is incorporated into operations throughout the Health Plan. The written QI plan shall clearly describe the mechanism within the Health Plan for strategic direction from the governing body to be provided to the QI program and for the QI program committee to communicate with the governing body. AHCA Contract No. FA913, Attachment II, Page 111 of 186 AMERIGROUP Florida, Inc. d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO Contract

Specific Required Components of the QI Program. a. The Health Plan’s governing body shall oversee and evaluate the QI program. The role of the Health Plan’s governing body shall include providing strategic direction to the QI program, as well as ensuring the QI plan is incorporated into operations operation throughout the Health Plan. The written QI plan shall clearly describe the mechanism within the Health Plan for strategic direction from the governing body to be provided to the QI program and for the QI program committee to communicate with the governing body. AHCA Contract No. FA913FA971, Attachment II, Page 111 155 of 186 AMERIGROUP 285 WellCare of Florida, Inc. Inc., Medicaid HMO Non-Reform Contract d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO ContractStaywell Health Plan of Florida

Specific Required Components of the QI Program. a. The Health Plan’s governing body shall oversee and evaluate the QI program. The role of the Health Plan’s governing body shall include providing strategic direction to the QI program, as well as ensuring the QI plan is incorporated into operations operation throughout the Health Plan. The written QI plan shall clearly describe the mechanism within the Health Plan for strategic direction from the governing body to be provided to the QI program and for the QI program committee to communicate with the governing body. AHCA Contract No. FA913FA972, Attachment II, Page 111 155 of 186 AMERIGROUP 285 WellCare of Florida, Inc. Inc., Medicaid HMO Non-Reform Contract d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO ContractHealthEase

Specific Required Components of the QI Program. a. The Health Plan’s governing body shall oversee and evaluate the QI program. The role of the Health Plan’s governing body shall include providing strategic direction to the QI program, as well as ensuring the QI plan is incorporated into operations throughout the Health Plan. The written QI plan shall clearly describe the mechanism within the Health Plan for strategic direction from the governing body to be provided to the QI program and for the QI program committee to communicate with the governing body. AHCA Contract No. FA913FA904, Attachment II, Page 111 of 186 AMERIGROUP WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida Medicaid HMO Non-Reform and Reform AMERIGROUP Community Care HMO Contract

Specific Required Components of the QI Program. a. The Health Plan’s governing body shall oversee and evaluate the QI program. The role of the Health Plan’s governing body shall include providing strategic direction to the QI program, as well as ensuring the QI plan is incorporated into operations throughout the Health Plan. The written QI plan shall clearly describe the mechanism within the Health Plan for strategic direction from the governing body to be provided to the QI program and for the QI program committee to communicate with the governing body. AHCA Contract No. FA913FA905, Attachment II, Page 111 of 186 AMERIGROUP HealthEase of Florida, Inc. d/b/a Medicaid HMO Non-Reform and Reform AMERIGROUP Community Care HMO Contract