TPR SUBSYSTEM. HMO's third party recovery system must have the following capabilities and capacities:
TPR SUBSYSTEM. 10.2 SYSTEM-WIDE FUNCTIONS HMO MIS system must include functions and/or features which must apply across all subsystems as follows:
TPR SUBSYSTEM. 104 10.11 YEAR 2000 (Y2K) COMPLIANCE ................................................105 ARTICLE XI QUALITY ASSURANCE AND QUALITY IMPROVEMENT PROGRAM.......................105 11.1 QUALITY IMPROVEMENT PROGRAM (QIP) SYSTEM ..................................105 11.2 WRITTEN QIP PLAN ..........................................................105 11.3 QIP SUBCONTRACTING ........................................................105 11.4 ACCREDITATION .............................................................106 11.5 BEHAVIORAL HEALTH INTEGRATION INTO QIP ....................................106 11.6 QIP REPORTING REQUIREMENTS ................................................106 1999 Renewal Contract Bexar Service Area August 9, 1999
TPR SUBSYSTEM. 105 10.11 YEAR 2000 (Y2K) COMPLIANCE....................................................105 ARTICLE XI QUALITY ASSURANCE AND QUALITY IMPROVEMENT PROGRAM..................106 11.1 QUALITY IMPROVEMENT PROGRAM (QIP) SYSTEM......................................106 11.2 WRITTEN QIP PLAN..............................................................106 11.3 QIP SUBCONTRACTING............................................................106 11.4 ACCREDITATION.................................................................106 11.5 BEHAVIORAL HEALTH INTEGRATION INTO QIP........................................106 11.6 QIP REPORTING REQUIREMENTS....................................................107 ARTICLE XII REPORTING REQUIREMENTS.............................................107
TPR SUBSYSTEM. HMO's third party recovery system must have the following capabilities and capacities: 1999 Renewal Contract Bexar Service Area August 9, 1999
TPR SUBSYSTEM. 10.1.9 HMO must submit a joint interface plan (JIP) in a format specified by HHSC. The JIP will include required information on all contractor interfaces that support the Medicaid Information Systems. The submission of the JIP will be in accordance with the HMO's Readiness Review and submitted prior to any major system changes thereafter.
TPR SUBSYSTEM. 96 10.11 YEAR 2000 (Y2K) COMPLIANCE........................................ 96 ARTICLE XI QUALITY ASSURANCE AND QUALITY IMPROVEMENT PROGRAM........ 97
TPR SUBSYSTEM. 10.2 SYSTEM-WIDE FUNCTIONS --------------------- HMO MIS system must include functions and/or features which must apply across all subsystems as follows: El Paso Service Area HMO Contract
TPR SUBSYSTEM. 91 10.11 YEAR 2000 COMPLIANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 ARTICLE XI QUALITY ASSURANCE AND QUALITY IMPROVEMENT PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . 92 11.1 QUALITY IMPROVEMENT PROGRAM (QIP) SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 11.2 WRITTEN QIP PLAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 11.3 QIP SUBCONTRACTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 11.4 ACCREDITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Dallas Service Area Contract 4
TPR SUBSYSTEM. 98 ARTICLE XI QUALITY ASSURANCE AND QUALITY IMPROVEMENT PROGRAM ...........98 11.1 QUALITY IMPROVEMENT PROGRAM (QIP) SYSTEM ..............................98 11.2 WRITTEN QIP PLAN ......................................................98 11.3 QIP SUBCONTRACTING ....................................................98 11.4 ACCREDITATION .........................................................98
