HMO must include definition
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.