QMI Program definition

QMI Program means CalOptima Quality Management and Improvement Program.
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Examples of QMI Program in a sentence

  • Upon request, County shall provide CalOptima with a list of County Associates, together with any information requested by CalOptima for credentialing and/or the administration of its QMI Program.

  • County agrees that it is subject to the requirements of CalOptima’s QMI Program and that it shall participate in QMI Program activities as required by CalOptima.

  • County shall participate in CalOptima’s QMI Program development and implementation for the purpose of collecting and studying data reflecting clinical status and quality of life outcomes for CalOptima Members.

  • In addition, Dental Office acknowledges and agrees that LIBERTY may use the performance data of Dental Office for QMI Program activities.

  • Dental Office shall, and shall ensure Dentists, comply with such QMI Program and cooperate with LIBERTY with respect to quality management and improvement activities, including monitoring, peer review, and/or appeals procedures established by LIBERTY and/or OHCA.

  • Dental Office shall, and shall ensure Dentists, comply with such QMI Program and cooperate with LIBERTY with respect to quality management and improvement activities.

  • Beacon also requires each provider to have its own internal QM&I Program to continually assess quality of care, access to care, and compliance with medical necessity criteria.

  • This Section shall also not apply to disputes arising from utilization management decisions of LIBERTY, it being understood and acknowledged by the Parties that Dental Office’s rights in connection with such decisions are specified in the QMI Program.

  • Grievances and Grievance ResolutionTable 5-1: QM&I Program Overview Program DescriptionProgram PrinciplesProgram Goals and ObjectivesBeacon administers, on behalf of the health plan, a Quality Management and Improvement (QM&I) program whose goal is to continually monitor and improve the quality and effectiveness of behavioral health services delivered to members.

  • However, the QMI Program Description does not specify how the quality and safety of enrollees receiving services in a laboratory environment or an outpatient surgery center are performed.

Related to QMI Program

  • AML Program has the meaning ascribed thereto in Schedule 2.1(F)(8) hereof.

  • Pilot program means the pilot program identified and funded through the Funding Agreement and described in that Funding Agreement and its attachments.

  • Marketing program means a program established by order of the director pursuant to this act prescribing rules and regulations governing the marketing for processing, distributing, selling, or handling an agricultural commodity produced in this state or agricultural commodity input during a specified period and

  • CRAF Program means the Civil Reserve Air Fleet Program authorized under 10 U.S.C. Section 9511 et seq. or any similar or substitute program under the laws of the United States.

  • Program Plan means the tobacco settlement program plan dated February 14, 2001, including exhibits to the program plan, submitted by the authority to the legislative council and the executive council, to provide the state with a secure and stable source of funding for the purposes designated by section 12E.3A and other provisions of this chapter.

  • E-Verify Program above means the employment verification program administered by the United States Department of Homeland Security, the Social Security Administration, or any successor program.

  • Development Program means the implementation of the development plan.

  • Covered Program means an education program or activity over which the College exercised substantial control over both the Respondent and the context in which the sexual harassment occurred.

  • Training program means an NCA-approved Iowa college, the Iowa law enforcement academy or an Iowa hospital approved by the department to conduct emergency medical care training.

  • Educational program means a program for educating and preparing physician assistants which is approved by the board.

  • Commercialization Plan has the meaning set forth in Section 6.2.

  • Development Plans means a coherent set of operations defined and financed exclusively by the OCTs in the framework of their own policies and strategies of development, and those agreed upon between an OCT and the Member State to which it is linked;

  • Competing Program has the meaning set forth in Section 8.5.

  • Licensed Program means the executable processing programs of licensed information, which is composed of various modules in the Licensed Software package provided by the Licensor.

  • the Programme means the programme leading to the Degree of Master of Laws – LL.M – in International Maritime Law;

  • Program means the statutorily authorized activities of the System Agency under which this Contract has been awarded.

  • Education program means any program that is principally engaged in the provision of education, including, but not limited to, early childhood education, elementary and secondary education, postsecondary education, special education, job training, career and technical education, and adult education, and any program that is administered by an educational agency or institution.

  • Research-based means a program or practice that has some research demonstrating effectiveness, but that does not yet meet the standard of evidence-based practices.

  • Prescription monitoring program “PMP,” or “program” means the program established pursuant to 657—Chapter 37 for the collection and maintenance of PMP information and for the provision of PMP information to authorized individuals.

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Loan Program means the State Treasurer’s Interest-Free Loan Program for Colorado School Districts authorized pursuant to the Loan Program Statutes.

  • Child day program means a regularly operating service arrangement for children where, during the absence of a parent or guardian, a person or organization has agreed to assume responsibility for the supervision, protection, and well-being of a child under the age of 13 for less than a 24-hour period.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Marketing Plan has the meaning set forth in Section 4.3(a).

  • Software Program means the software program used by a Fund for providing Fund and account balance information including net asset value per share. Such Program may include the Lion System. In situations where the Lion System or any other Software Program used by a Fund is not available, such information may be provided by telephone. The Lion System shall be provided to Insurance Company at no charge.

  • Development Plan has the meaning set forth in Section 3.2.