Quality Rating System definition

Quality Rating System means the CMS system intended to inform consumers about the comparable quality of health care services provided by QHPs based on data reported in the means and manner required for Quality Improvement Reporting.

Quality Rating System. After federal guidance is released, Xxxxxx Consulting will assist in developing additional criteria as part of the quality rating system. They will explore the currently available information and options with other organizations that collect and disseminate data, particularly the Puget Sound Health Alliance. The TAC and board will review the quality rating system options. The board will make a decision on the quality rating system requirements, and the exchange will implement the system and incorporate quality rating information into the exchange website. Information on quality rating will be continually reviewed for additional data that could potentially be offered through the exchange. The exchange would then be updated as this information becomes available.

Quality Rating System means a rule promulgated by the

Examples of Quality Rating System in a sentence

• The Department shall monitor for CMS development of a Medicaid Managed Care Quality Rating System to determine whether it will adopt the CMS system or develop its own.

• The Department shall implement CMS’s Medicaid Managed Care Quality Rating System or develop its own within three (3) years of the date of a final notice published in the Federal Register.

• Contractor shall collect and annually report to Covered California, for each QHP Product Type, its Health Care Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Health Care Providers and Systems (CAHPS) data, and other performance data (numerators, denominators, and rates) as required for the federal Quality Rating System and as outlined in Attachments 7 (“Quality, Network Management and Delivery System Standards”) and 14 (“Performance Measurement Standards”) of this Agreement.

• Contractor shall collect and annually report to the Exchange, for each QHP Product Type, its Health Care Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Health Care Providers and Systems (CAHPS) data and other performance data (numerators, denominators, and rates) as required for the federal Quality Rating System and as outlined in Attachments 7 and 14 of this Agreement.

• Contractor shall collect and annually report to Covered California, for each QHP Product Type, its Health Care Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Health Care Providers and Systems (CAHPS) data, and other performance data (numerators, denominators, and rates) as required for the federal Quality Rating System and as outlined in Attachment 1 — Advancing Equity, Quality, and Value and Attachment 2 — Performance Standards with Penalties of this Agreement.

• Quality Rating System Each Exchange will need to assign a quality rating to each plan in accordance with the quality rating system that will be issued by HHS.

• The California Exchange will develop a Quality Rating System that meets or exceeds federal guidelines and determine how to incorporate the Quality Rating System into QHP certification criteria and reporting.

• Quality Rating System Utilize the Federal quality rating system developed by HHS in development of draft contract for qualified health plans.

• Contractor shall collect and annually report to the Exchange, for each QHP Product Type, its Health Care Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Health Care Providers and Systems (CAHPS) data, and other performance data (numerators, denominators, and rates) as required for the federal Quality Rating System and as outlined in Attachments 7 and 14 of this Agreement.

• Contractor shall collect and annually report to Covered California, for each QHP Product Type, its Health Care Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Health Care Providers and Systems (CAHPS) data, and other performance data (numerators, denominators, and rates) as required for the federal Quality Rating System and as outlined in Attachments 7 and 14 of this Agreement.

More Definitions of Quality Rating System

Quality Rating System means a rule promulgated by the Department of Social Services implementing the Louisiana Quality Rating System which establishes criteria for evaluating and rating the quality of an eligible child care facility in terms of the award of "stars," with five "stars" being the highest quality child care facility.

Quality Rating System means a voluntary four step program designed to increase awareness of the basic standards of early care and education, to recognize and support providers who are providing care above and beyond those standards, and to educate families and community about what high quality care is and why it is so important. Reimbursement Basis means compensation after services are rendered. 1.43 Relative Child Care Provider means a Child Care Provider who is 18 years of age or older and provides Child Care Services only to eligible children who are, by marriage, blood relationship, or court decree, the grandchild, great grandchild, sibling, niece, or nephew of such provider. Relatives, including siblings, providing care must live in a separate residence. A Relative Child Care Provider must have the same background checks as a non-relative Legal, Unregulated Child Care Provider. 1.44 Recreational Program means an inclusive, non-residential program for children between six (6) and twelve (12) years of age, inclusive, operated by a community-based program that meets staff-to-child ratio requirements and performs criminal history, motor vehicle, and child abuse/neglect background checks as required of Department regulated Child Care Facilities. 1.45 Residing with means the child is living with the applicant who is maintaining a home or main domicile for the child. 1.46 Sectarian Child Care means a licensed Child Care Facility that provides religious activities, including but not limited to religious worship or instruction. School-Age Child means a child between five (5) years of age and twelve (12) years of age, inclusive, and who attends school. SFPSS means State Funds for Purchased Social Services. 1.49 Significant Income Change means a change in the source or amount of income which is greater than $100 per month and expected to continue into the future for more than one month. 1.50 Six-Month Report means a report sent to clients from the Department or the Contracted Slots Agencies to determine if there have been changes in eligibility. See 8.01.4.