HMO must include definition

HMO must include. TDH approved pediatric transplant centers, TDH designated trauma centers, and TDH designated hemophilia centers in its provider network (see Appendices E, F, and G for a listing of these facilities).
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Examples of HMO must include in a sentence

  • The HMO must include in Provider contracts a requirement securing cooperation with the QAPI.

  • The HMO must include a written description of the Appeals process in the Member Handbook.

  • The HMO must include a written description of the Complaint process in the Member Handbook.

  • The HMO must include in its reports Complaints and Appeals submitted to its subcontracted risk groups (e.g., IPAs) and any other subcontractor that provides Member services.

  • The HMO must include the requirements in the Provider Manual and in the STAR+PLUS Provider training.

  • The HMO must include in its reports complaints submitted by providers to its subcontracted risk groups (e.g., IPAs) and any other subcontractor that provides Provider services.

  • HMO must include a written description of the complaint process in the Member Handbook.

  • HMO must include training on coordination and quality of care such as behavioral health screening techniques for PCPs and new models of behavioral health interventions.

  • HMO must include a confidentiality provision in all subcontracts with individuals.

  • For HUB Qualified (but not certified) Entities: HMO must include the ethnicity/gender of the major owner(s) (51%) of the entity.