Lakeshore Regional Entity

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Lakeshore Regional Entity"

Transcription

1 Policy 4.2 POLICY TITLE: Contract Management POLICY #: 4.2 Adapted from SMA Topic Area: Applies to: Provider Network Management LRE and all member CMHSPs Page 1 of 5 ISSUED BY: Chief Executive Officer 11/21/13 REVIEW DATES Developed and Maintained by: LRE CEO APPROVED BY: Board of Directors Supersedes: N/A Effective Date: January 1, 2014 Revised Date: I. POLICY: The LRE shall develop and negotiate contracts, monitor compliance with all aspects of the contracts, conduct reviews for evidence of abuse and/or fraud, sanction providers as necessary, train providers concerning performance expectations and manage contracts for consumer services with out-of-network providers. II. PURPOSE: To assure that the provider network permits meaningful consumer choice and is in compliance with regulatory requirements and the performance expectations of the LRE. III. APPLICABILITY AND RESPONSIBILITY: This policy applies to the LRE and its member CMHSPs. IV. MONITORING AND REVIEW: LRE shall annually conduct a compliance review of each CMHSP, and shall assure that all aspects of this policy are consistently implemented. Based on this compliance review, LRE may request corrective action from member CMHSPs. LRE may request information regarding compliance with this policy at any time. LRE will provide rationale for the request, and will provide a reasonable timeline for provision of the information. V. RELATED POLICIES AND PROCEDURES: A. Network Development and Procurement B. Network Policy Development C. Credentialing, Privileging and Primary Source Verification

2 Page 2 of 5 VI. PROCEDURES A. Contract Development 1. Contracts shall be established with all providers delivering services to individuals on behalf of LRE. 2. Provider contracts shall a. Specify in measurable terms the obligations of the parties b. Identify the term of the contract c. Require individual practitioners and organization providers to be credentialed according to MDCH credentialing requirements d. Address timely access to services e. Address that providers are 24/7 when the services are the type that require 24 hour availability f. Address contract grievance and complaint mechanisms to resolve disputes B. Contract Compliance 1. Communication to Providers on Requirements & Expectations The LRE and each CMHSP within the LRE network will assist providers in understanding the contract requirements 2. Communication from Providers on Negative Action a. It is the responsibility of the provider to communicate negative actions b. Actions requiring notification include, but are not limited to: 1. Loss of accreditation. 2. Loss of insurance. 3. Unfavorable financial audit. 4. Successful litigation claim against the Provider member. 5. Loss of substance abuse license. 6. Loss or change in Adult Foster Care or Child Placing Licensing. 7. Reports of substantiated violations of State or Federal rules or regulations (i.e., Special Investigation Reports with substantial rule violations conducted by DHS Bureau of Children and Adult Licensing). 8. Any claim, allegation, financial loss or change in credentialing that can negatively impact the provider. 9. Sentinel Events (as defined by LRE policy [Incident, Event and Death Reporting. Must be reported as soon as possible and no later 24 hours after occurrence). 3. Provider Sanctions a. Unsatisfactory performance, lack of response, failure to submit plan of correction within required timeframe and/or discovery of significant risks (i.e., health hazard, injury, loss, exposure) may result in the application of a sanction. b. The focus of provider sanctions (compliance activities) will be on continuous improvement, as applicable.

3 Page 3 of 5 c. Providers will be sanctioned based on the severity and frequency of the contractual violation(s). C. Provider Monitoring 1. Individuals and organizations under contract with the LRE or a CMHSP for the provision of services: a. Are subject to the ongoing monitoring by the LRE and/or as delegated to one of the CMHSPs. b. Are required to implement improvement plans as indicated through identified deficiencies or areas needing improvement. 2. Quality Monitoring Reviews (QMR) are to: a. Include a representative sampling of persons served. b. Be conducted by individuals who have the expertise and qualifications for assessing the quality of the area being reviewed. c. Be conducted with no disruption to services. d. Provide accurate, timely and useful information. e. Include clear recommendations for improvement where needed. 3. Provider monitoring will result in summary performance reports 4. All instances of suspected fraud and/or abuse discovered during a provider monitoring review will be reported to the Corporate Compliance Officer 5. The LRE or applicable CMHSP will take firm and expedient action in the event of significant non-compliance D. Dispute Resolution 1. The provider dispute resolution process applies only to contractual disputes or compliance/performance disputes including: a. Suspension or termination of a provider with cause b. Credentialing or re-credentialing decisions c. A sanction or decision to place the provider on a provisional status d. Claims payment and authorizations e. Reduction, suspension or adjustments to provider payments f. Results reported through Quality Monitoring Reviews g. Other non-clinical issues 2. Notification of the Right for Dispute Resolution a. The right to Dispute Resolution will be included in each provider agreement. b. Providers will be informed of a progressive Dispute Resolution process as part of the notification of a negative resolution. 3. Filing a Dispute Resolution Request Each CMHSP will outline the procedures for its contract providers to submit a request for Dispute Resolution. The procedures will include the timeframes to submit the request, individuals responsible to respond to the requests and timeframes by which responses to Dispute Resolution requests must be made.

4 Page 4 of 5 E. Out of Network Providers Prior to establishing an agreement/contract, consideration must include the review of the following requirements or qualifications 1. Accreditation by JCAHO, CARF, COA, DNV or NCQA and/or the capacity and commitment to meet the Michigan Department of Community Health (MDCH) certification standards. 2. Compliance with all applicable professional and/or facility licensing and certification requirements. 3. Credentialing of staff. 4. Clinical and/or service expertise and commitment to serving the target population(s). 5. Administrative and management capacity related to standards and requirements. 6. Confirmation of the rate charged by the Out-of-Network provider to the host entity. 7. Agreement on the mechanisms for monitoring the quality of care. F. Subcontracting A CMHSP may subcontract with an organizational provider for the delivery of specialty behavioral healthcare services; but may not sub-delegate a managed care administrative function to an organizational provider, other than practitioner credentialing and customer services. 1. The Provider shall be responsible for each subcontracted vendor in the provision of services specified within the contract between the Provider and the LRE and/or CMHSP. 2. An individual contract provider may not subcontract LRE and/or CMHSP funded services to another vendor. 3. An individual contract provider may not outsource or subcontract the delivery of covered services to another organizational provider, but may contract with practitioner providers for the rendering of covered services. 4. The Provider shall be held solely and fully responsible to execute all provisions of the contract between the Provider and the contracting entity, whether or not the provisions of the contract are directly pursued by the Provider, affiliated Providers, or pursued by the Provider through a subcontract vendor. 5. The Provider shall ensure that subcontract arrangements clearly specify the type of services being purchased. 6. Subcontracts shall ensure that the LRE and/or CMHSP is not a party to the contract and therefore not a party to any employer/employee relationship with the subcontract vendor of the Provider G. Delegation The LRE shall have a written description of all delegated LRE functions. There shall be evidence that the delegation has been agreed to by both the LRE and the delegate, before the delegate entity begins performing the delegated activity. The written delegation agreement shall: 1. Be mutually agreed upon. 2. Describe the responsibilities of the LRE and the delegated entity in terms specific to

5 Page 5 of 5 their relationship as it pertains to each delegated function. 3. Describe the delegated activities. 4. Describe the process by which the LRE formally evaluates the delegated entity s performance, 5. Describe the remedies available to the LRE if the delegated entity does not fulfill the obligations, 6. If the delegation arrangement includes the use of protected health information (PHI) by the delegate, as defined by HIPAA regulations, the delegation agreement shall address the applicable HIPAA requirements. VI. DEFINITIONS: N/A

Lakeshore RE AFP POLICY # 4.4. APPROVED BY: Board of Directors

Lakeshore RE AFP POLICY # 4.4. APPROVED BY: Board of Directors Lakeshore PIHP POLICY TITLE: CREDENTIALING, RECREDENTIALING, STAFF QUALIFICATIONS, AND BACKGROUND CHECKS Topic Area: Provider Network Management POLICY # 4.4 Page: 1 of ISSUED BY: Chief Executive Officer

More information

GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT:

GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: Page 1 of 7 WRITTEN BY: T. Deeghan, COO TECHNICAL REVIEW BY: T. Deeghan, S. Mason AUTHORIZED

More information

PATHWAYS CMH. CATEGORY: Personnel Employee Guidelines BOARD APPROVAL DATE: June 4, 2014 REVISION(S) TO POLICY OTHER REVISION(S):

PATHWAYS CMH. CATEGORY: Personnel Employee Guidelines BOARD APPROVAL DATE: June 4, 2014 REVISION(S) TO POLICY OTHER REVISION(S): PATHWAYS CMH POLICY TITLE: Credentialing Credentialing & Oversight EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 RESPONSIBLE PARTY: COO/Human Resources Director CATEGORY: Personnel Employee

More information

IX. Network Management

IX. Network Management A. ValueOptions' Network Department As part of the efforts to develop a state-of-the-art behavioral health system in Texas, ValueOptions recognizes and acknowledges the provider network is not only crucial

More information

POLICY No. 20-049. Prepared by: Judith Kell Effective: December 20, 2002 Compliance Review Supervisor Revised: January 23, 2009

POLICY No. 20-049. Prepared by: Judith Kell Effective: December 20, 2002 Compliance Review Supervisor Revised: January 23, 2009 LAKESHORE BEHAVIORAL HEALTH ALLIANCE Community Mental Health Services of Muskegon County Community Mental Health of Ottawa County Lakeshore Coordinating Council for Substance Abuse Services POLICY Prepared

More information

Pages: 9 Date: 03/13/2012 Subject: Credentialing and Recredentialing. Prepared By: MVBCN Clinical Director

Pages: 9 Date: 03/13/2012 Subject: Credentialing and Recredentialing. Prepared By: MVBCN Clinical Director Governing Body: Mid-Valley Behavioral Care Network (MVBCN) Pages: 9 Date: 03/13/2012 Subject: Credentialing and Recredentialing Prepared By: MVBCN Clinical Director Approved By: Oregon Health Authority

More information

NORTHCARE NETWORK. POLICY TITLE: Event/Death Reporting, Notification & Monitoring EFFECTIVE DATE: 10/1/10 (Retro.) REVIEW DATE: 12/18/13

NORTHCARE NETWORK. POLICY TITLE: Event/Death Reporting, Notification & Monitoring EFFECTIVE DATE: 10/1/10 (Retro.) REVIEW DATE: 12/18/13 NORTHCARE NETWORK POLICY TITLE: Event/Death Reporting, Notification & Monitoring EFFECTIVE DATE: 10/1/10 (Retro.) REVIEW DATE: 12/18/13 RESPONSIBLE PARTY: Quality Improvement Coordinator CATEGORY: Quality

More information

PATHWAYS CMH. POLICY TITLE: Credentialing - Continuous Monitoring of Provider Network EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015

PATHWAYS CMH. POLICY TITLE: Credentialing - Continuous Monitoring of Provider Network EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 PATHWAYS CMH POLICY TITLE: Credentialing - Continuous Monitoring of Provider Network EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 RESPONSIBLE PARTY: COO/Human Resources Director CATEGORY:

More information

CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures.

CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures. CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures. 59A-23.004 Quality Assurance. 59A-23.005 Medical Records and

More information

EQR PROTOCOL 1 ASSESSING MCO COMPLIANCE WITH MEDICAID AND CHIP MANAGED CARE REGULATIONS

EQR PROTOCOL 1 ASSESSING MCO COMPLIANCE WITH MEDICAID AND CHIP MANAGED CARE REGULATIONS EQR PROTOCOL 1 ASSESSING MCO COMPLIANCE WITH MEDICAID AND CHIP MANAGED CARE REGULATIONS Attachment D: The purpose of this Attachment to Protocol 1 is to provide the reviewer(s) with sample review questions

More information

VENDOR AUDIT LETTER TEMPLATE

VENDOR AUDIT LETTER TEMPLATE VENDOR AUDIT LETTER TEMPLATE Date Mr/Ms. Vendor Contact Name Title Company Name Company Address City, State Zip Dear Mr/Ms.: As part of our Vendor Management Program, (Name) Health Plan performs oversight

More information

Policy No.: CR006_07. Title: Delegated Credentialing and Recredentialing Policy QM CR 04 02, CR 07 08

Policy No.: CR006_07. Title: Delegated Credentialing and Recredentialing Policy QM CR 04 02, CR 07 08 Title: Delegated Credentialing and Recredentialing Policy Previous Title (if applicable): Department Applicability: Credentialing Lines of Business: Medi Cal, Healthy Families, Healthy Kids, Agnews Originating

More information

Accountable Care Organization. Medicare Shared Savings Program. Compliance Plan

Accountable Care Organization. Medicare Shared Savings Program. Compliance Plan Accountable Care Organization Participating In The Medicare Shared Savings Program Compliance Plan 2014 Corporate Location: 3190 Fairview Park Drive Falls Church, VA 22042 ARTICLE I INTRODUCTION This Compliance

More information

Reporting Period Service Months Being Reviewed

Reporting Period Service Months Being Reviewed B. Claims Verification Primary Review: Review by the Contractor who receives a randomized sample review of the percentage of claims paid. C. Claims Verification Secondary Review: Review by the Authority

More information

NCQA Standards Update & Delegated Credentialing Tips NYSAMSS Annual Meeting May 4, 2012

NCQA Standards Update & Delegated Credentialing Tips NYSAMSS Annual Meeting May 4, 2012 NCQA Standards Update & Delegated Credentialing Tips NYSAMSS Annual Meeting May 4, 2012 By: Di Hall, CPCS, CPMSM Director, Compliance & Quality Improvement CREDENT Verification & Licensing Services www.credent.com

More information

BUSINESS ASSOCIATE AGREEMENT. Recitals

BUSINESS ASSOCIATE AGREEMENT. Recitals BUSINESS ASSOCIATE AGREEMENT This Agreement is executed this 8 th day of February, 2013, by BETA Healthcare Group. Recitals BETA Healthcare Group consists of BETA Risk Management Authority (BETARMA) and

More information

North American Partners in Anesthesia. Corporate Compliance Plan

North American Partners in Anesthesia. Corporate Compliance Plan North American Partners in Anesthesia Corporate Compliance Plan VERSION EFFECTIVE: JANUARY 2015 CONTENTS Introduction and Mission 1. Corporate Commitment to Compliance: Code of Conduct 2. Written Compliance

More information

MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011. Behavioral Health Intervention Services (BHIS) ONLY

MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011. Behavioral Health Intervention Services (BHIS) ONLY MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011 Behavioral Health Intervention Services (BHIS) ONLY Proprietary: Magellan Health Services policies apply to all subsidiaries,including

More information

Health Sciences Compliance Plan

Health Sciences Compliance Plan INDIANA UNIVERSITY Health Sciences Compliance Plan 12.18.2014 approved by University Clinical Affairs Council Table of Contents Health Sciences Compliance Plan I. INTRODUCTION... 2 II. SCOPE... 2 III.

More information

Mental Health Resources, Inc. Mental Health Resources, Inc. Corporate Compliance Plan Corporate Compliance Plan

Mental Health Resources, Inc. Mental Health Resources, Inc. Corporate Compliance Plan Corporate Compliance Plan Mental Health Resources, Inc. Mental Health Resources, Inc. Corporate Compliance Plan Corporate Compliance Plan Adopted: January 2, 2007 Revised by Board of Directors on September 4, 2007 Revised and Amended

More information

Notice of Privacy Practices

Notice of Privacy Practices Notice of Privacy Practices This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. This Notice of

More information

Credentialing/Recredentialing

Credentialing/Recredentialing Credentialing/Recredentialing Section F-1 Credentialing Practitioner Credentialing Molina Healthcare of New Mexico, Inc. (Molina Healthcare) credentials practitioners/providers in accordance with internal

More information

Any business relationship between a bank and another entity, by contract or otherwise

Any business relationship between a bank and another entity, by contract or otherwise An Overview for Bank Directors Managing the Third Party Relationship Patrick Neuman Boardman & Clark LLP Madison, Wisconsin Any business relationship between a bank and another entity, by contract or otherwise

More information

INTRODUCTION. QM Program Reporting Structure and Accountability

INTRODUCTION. QM Program Reporting Structure and Accountability QUALITY MANAGEMENT PROGRAM INTRODUCTION To assure services are appropriately monitored and continuously improved, ValueOptions has developed and implemented a comprehensive (QMP). The QMP includes strategies

More information

CHAPTER 9: NURSING HOME RESPONSIBILITIES REGARDING COMPLAINTS OF ABUSE, NEGLECT, MISTREATMENT AND MISAPPROPRIATION

CHAPTER 9: NURSING HOME RESPONSIBILITIES REGARDING COMPLAINTS OF ABUSE, NEGLECT, MISTREATMENT AND MISAPPROPRIATION CHAPTER 9: NURSING HOME RESPONSIBILITIES REGARDING COMPLAINTS OF ABUSE, NEGLECT, MISTREATMENT AND MISAPPROPRIATION 9.1. PURPOSE Effective protection of residents in long term care facilities from abuse,

More information

2014 Quality Improvement Program Description

2014 Quality Improvement Program Description 2014 Quality Improvement Program Description Table of Contents BACKGROUND AND HISTORY 2 MISSION STATEMENT 3 AUTHORITY 3 SCOPE 3 QI ACTIVITES TO FULFILL THE SCOPE 4 PURPOSE 6 GOALS 7 OBJECTIVES 7 DELEGATION

More information

Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL

Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL Section 3.20 Credentialing and Recredentialing 3.20.1 Introduction 3.20.2 References 3.20.3 Scope 3.20.4 Did you know? 3.20.5 Definitions 3.20.6 Objectives 3.20.7 Procedures 3.20.7-A. General process for

More information

AGENCY FOR HEALTH CARE ADMINISTRATION HEALTH QUALITY ASSURANCE BUREAU OF MANAGED HEALTH CARE 2727 Mahan Drive Tallahassee Florida 32308

AGENCY FOR HEALTH CARE ADMINISTRATION HEALTH QUALITY ASSURANCE BUREAU OF MANAGED HEALTH CARE 2727 Mahan Drive Tallahassee Florida 32308 AGENCY FOR HEALTH CARE ADMINISTRATION HEALTH QUALITY ASSURANCE BUREAU OF MANAGED HEALTH CARE 2727 Mahan Drive Tallahassee Florida 32308 WORKERS COMPENSATION MANAGED CARE ARRANGEMENT SURVEY REPORT NAME

More information

HAAD Standard for Complaints Management in Healthcare Facilities. Document Ref. Number: HAAD/CMHF/SD/1.2 Version 1.2

HAAD Standard for Complaints Management in Healthcare Facilities. Document Ref. Number: HAAD/CMHF/SD/1.2 Version 1.2 Document Title: HAAD Standard for Complaints Management in Healthcare Facilities Document Ref. Number: HAAD/CMHF/SD/1.2 Version 1.2 Approval Date: 17/11/2013 Effective Date: 24/11/2013 Last Reviewed: February

More information

STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES BUSINESS ASSOCIATE ADDENDUM

STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES BUSINESS ASSOCIATE ADDENDUM STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES BUSINESS ASSOCIATE ADDENDUM BETWEEN The Division of Health Care Financing and Policy Herein after referred to as the Covered Entity and (Enter Business

More information

GUIDANCE FOR MANAGING THIRD-PARTY RISK

GUIDANCE FOR MANAGING THIRD-PARTY RISK GUIDANCE FOR MANAGING THIRD-PARTY RISK Introduction An institution s board of directors and senior management are ultimately responsible for managing activities conducted through third-party relationships,

More information

General HIPAA Implementation FAQ

General HIPAA Implementation FAQ General HIPAA Implementation FAQ What is HIPAA? Signed into law in August 1996, the Health Insurance Portability and Accountability Act ( HIPAA ) was created to provide better access to health insurance,

More information

HIPPA. business associates agreement

HIPPA. business associates agreement This Business Associate Agreement ( BAA ) is entered into by and between ALTOR National ( ALTOR National ) and Insured/Applicant ( Covered Entity ) and is effective as of September 23 rd, 2013 (the BAA

More information

ATTACHMENT I. CAMHD Credentialing and Recredentialing

ATTACHMENT I. CAMHD Credentialing and Recredentialing RFP No. HTH 460-08-03 ATTACHMENT I CAMHD Credentialing and Recredentialing A8541 SUBJECT: Initial Credentialing of Licensed Health Care Number: 80.308 Professionals Page: 1 of 29 REFERENCE: HRS; HI QUEST;

More information

Use & Disclosure of Protected Health Information by Business Associates

Use & Disclosure of Protected Health Information by Business Associates Applicability: Policy Title: Policy Number: Use & Disclosure of Protected Health Information by Business Associates PP-12 Superseded Policy(ies) or Entity Policy: N/A Date Established: January 31, 2003

More information

WRAPAROUND MILWAUKEE Policy & Procedure

WRAPAROUND MILWAUKEE Policy & Procedure WRAPAROUND MILWAUKEE Policy & Procedure Wraparound Wraparound-REACH FISS Project O-Yeah I. POLICY Date Issued: 11/15/07 Effective Date: 1/1/15 Reviewed: 10/20/14 By: WA Last Revision: 10/20/14 Subject:

More information

OFFICE OF CONTRACT ADMINISTRATION 60400 PURCHASING DIVISION. Appendix A HEALTHCARE INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA)

OFFICE OF CONTRACT ADMINISTRATION 60400 PURCHASING DIVISION. Appendix A HEALTHCARE INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA) Appendix A HEALTHCARE INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA) BUSINESS ASSOCIATE ADDENDUM This Business Associate Addendum ( Addendum ) supplements and is made a part of the contract ( Contract

More information

Description of a First Tier, Downstream, and Related Entity

Description of a First Tier, Downstream, and Related Entity We at Health Partners Plans (HPP) would like to thank you for your partnership with HPP and helping us to provide exceptional service to our Medicare beneficiaries. The Centers for Medicare and Medicaid

More information

RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT

RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT Rhode Island Primary Care Physicians Corporation 1150 New London Avenue Cranston, RI 02920 Phone: 401-654-4000 Fax: 401-654-4001 Online: www.ripcpc.com RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT

More information

University of California Policy

University of California Policy University of California Policy HIPAA Uses and Disclosures Responsible Officer: Senior Vice President/Chief Compliance and Audit Officer Responsible Office: Ethics, Compliance and Audit Services Effective

More information

Policy on Privileged Access

Policy on Privileged Access Policy on Privileged Access Reference: CNS-P-GEN-PRIV-ACCESS Revision: D Supersedes: Purpose: Source: System Administrator Best Practice Guideline The purpose of this policy is to prevent inappropriate

More information

COMPLAINT PROCEDURES AGAINST SACSCOC OR ITS ACCREDITED INSTITUTIONS

COMPLAINT PROCEDURES AGAINST SACSCOC OR ITS ACCREDITED INSTITUTIONS Southern Association of Colleges and Schools Commission on Colleges 1866 Southern Lane Decatur, Georgia 30033-4097 COMPLAINT PROCEDURES AGAINST SACSCOC OR ITS ACCREDITED INSTITUTIONS Policy Statement Statement

More information

HIPAA Privacy Rule Policies

HIPAA Privacy Rule Policies DRAFT - Policies and Procedures PRIVACY OFFICE ASSIGNMENT AND RESPONSIBILITIES APPROVED BY: SUPERCEDES POLICY: Policy #1 ADOPTED: REVISED: REVIEWED: Purpose This policy is designed to assure the establishment

More information

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT BUSINESS ASSOCIATE TERMS AND CONDITIONS

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT BUSINESS ASSOCIATE TERMS AND CONDITIONS COVERYS RRG, INC. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT BUSINESS ASSOCIATE TERMS AND CONDITIONS WHEREAS, the Administrative Simplification section of the Health Insurance Portability and

More information

This form may not be modified without prior approval from the Department of Justice.

This form may not be modified without prior approval from the Department of Justice. This form may not be modified without prior approval from the Department of Justice. Delete this header in execution (signature) version of agreement. HIPAA BUSINESS ASSOCIATE AGREEMENT This Business Associate

More information

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 EFFECTIVE DATE: 10/04 Applies to all products administered by the plan except when changed by contract Policy Statement:

More information

Business Associate Agreement

Business Associate Agreement Business Associate Agreement This Business Associate Agreement (this "Agreement") is made as of, 201_ (the Effective Date ), and is entered into between ( Covered Entity ) and Delta Business System, Inc.

More information

POLICY TITLE WHISTLEBLOWER PROTECTION

POLICY TITLE WHISTLEBLOWER PROTECTION Page 1 of 9 1. PURPOSE Fraser Health is committed to maintaining high standards of ethics and business conduct in the administration of publicly funded resources in achieving its vision of Better Health

More information

COUNTY OF ORANGE DEPARTMENT OF HEALTH. Corporate Compliance Plan

COUNTY OF ORANGE DEPARTMENT OF HEALTH. Corporate Compliance Plan COUNTY OF ORANGE DEPARTMENT OF HEALTH Corporate Compliance Plan COUNTY OF ORANGE DEPARTMENT OF HEALTH CORPORATE COMPLIANCE PLAN I. Corporate Compliance Plan It is the policy of the Orange County Department

More information

NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION UTILIZATION MANAGEMENT PLAN November 1, 2001. Revised January 2013

NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION UTILIZATION MANAGEMENT PLAN November 1, 2001. Revised January 2013 NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION UTILIZATION MANAGEMENT PLAN November 1, 2001 Revised January 2013 I. Mission II. III. IV. Scope Philosophy Authority V. Utilization Management

More information

Vermont Information Technology Leaders

Vermont Information Technology Leaders Vermont Information Technology Leaders HIPAA COMPLIANCE POLICIES AND PROCEDURES Policy Number: InfoSec 1 Policy Title: Information Privacy and Security Management Process IDENT INFOSEC1 Type of Document:

More information

2014 Quality Improvement and Utilization Management Evaluation Summary

2014 Quality Improvement and Utilization Management Evaluation Summary 2014 Quality Improvement and Utilization Management Evaluation Summary INTRODUCTION The Quality Improvement (QI) and Utilization Management (UM) Program Evaluation summarizes the completed and ongoing

More information

HIPAA Business Associate Addendum

HIPAA Business Associate Addendum HIPAA Business Associate Addendum THIS HIPAA BUSINESS ASSOCIATE ADDENDUM (this Addendum ) is by and between ( Covered Entity ) and TALKSOFT CORPORATION ( Business Associate ) (hereinafter, Covered Entity

More information

PATIENT CARE POLICY III.

PATIENT CARE POLICY III. PATIENT CARE POLICY Subject: PATIENT CARE ADMINISTRATION Title: COMPLAINT AND GRIEVANCE MANAGEMENT Page: 1 of 6 Revision of: 08/09/06 Policy # 5.42 Effective Date: 07/01/08 I. PURPOSE: The purpose of this

More information

Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS

Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS Please complete the application thoroughly in its entirety. The checklist below may not be exhaustive of all materials, but is provided

More information

HIPAA BUSINESS ASSOCIATE AGREEMENT

HIPAA BUSINESS ASSOCIATE AGREEMENT HIPAA BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement and is made between BEST Life and Health Insurance Company ( BEST Life ) and ( Business Associate ). RECITALS WHEREAS, the U.S.

More information

PIAA Corporate Counsel Workshop October 22 23, 2015

PIAA Corporate Counsel Workshop October 22 23, 2015 PIAA Corporate Counsel Workshop October 22 23, 2015 Ernia Hughes, MBA Director, Division of Practitioner Data Bank Bureau of Health Workforce Health Resources and Services Administration U.S. Department

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Important Notice

More information

Pacific Medical Centers HIPAA Training for Residents, Fellows and Others

Pacific Medical Centers HIPAA Training for Residents, Fellows and Others Pacific Medical Centers HIPAA Training for Residents, Fellows and Others Summary of Critical Pacific Medical Centers (PMC) HIPAA Policies and Procedures For additional information or questions, please

More information

BNA s Health Law Reporter

BNA s Health Law Reporter BNA s Health Law Reporter Reproduced with permission from BNA s Health Law Reporter, 20 HLR 1272, 08/18/2011. Copyright 2011 by The Bureau of National Affairs, Inc. (800-372-1033) http://www.bna.com HHS

More information

SUSPICIOUS ACTIVITY DETECTION AND BILLING INVESTIGATIONS

SUSPICIOUS ACTIVITY DETECTION AND BILLING INVESTIGATIONS SUSPICIOUS ACTIVITY DETECTION AND BILLING INVESTIGATIONS New Mexico Medicaid False Claims Act OptumHealth has four core modules related to Recovery and Resiliency. These programs provide an overview of

More information

TJ RAI, M.D. THERAPY MEDICATION WELLNESS PRIVACY POLICY STATEMENT

TJ RAI, M.D. THERAPY MEDICATION WELLNESS PRIVACY POLICY STATEMENT PRIVACY POLICY STATEMENT Purpose: It is the policy of this Physician Practice that we will adopt, maintain and comply with our Notice of Privacy Practices, which shall be consistent with HIPAA and California

More information

Section 5: Recordkeeping, Reporting, Non-Compliance, Unanticipated Problems, Adverse Events, Suspension, Termination

Section 5: Recordkeeping, Reporting, Non-Compliance, Unanticipated Problems, Adverse Events, Suspension, Termination Section 5: Recordkeeping, Reporting, Non-Compliance, Unanticipated Problems, Adverse Events, Suspension, Termination 5.1. Recordkeeping Policy In accordance with federal regulations (45 CFR 46.115 and

More information

V. Quality and Network Management

V. Quality and Network Management V. Quality and Network Management The primary goal of Beacon Health Options Quality and Network Management Program is to continuously improve patient/member care and services. Through data collection,

More information

Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner

Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner Amendments to this Appendix B-1 shall be effective as of August 1, 2012 (the Amendment Date ). To be initially admitted

More information

10A NCAC 89D.0204 COMMUNITY REHABILITATION PROGRAM STANDARDS (a) The following definitions apply to the terms as used in this Rule: (1) "Community

10A NCAC 89D.0204 COMMUNITY REHABILITATION PROGRAM STANDARDS (a) The following definitions apply to the terms as used in this Rule: (1) Community 10A NCAC 89D.0204 COMMUNITY REHABILITATION PROGRAM STANDARDS (a) The following definitions apply to the terms as used in this Rule: (1) "Community rehabilitation program" means a program that provides

More information

HALOZYME THERAPEUTICS, INC. CHARTER OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ORGANIZATION AND MEMBERSHIP REQUIREMENTS

HALOZYME THERAPEUTICS, INC. CHARTER OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ORGANIZATION AND MEMBERSHIP REQUIREMENTS HALOZYME THERAPEUTICS, INC. CHARTER OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS I. STATEMENT OF POLICY The Audit Committee (the Committee ) of the Board of Directors (the Board ) of Halozyme Therapeutics,

More information

Michigan State University Anti-Discrimination Policy/Relationship Violence & Sexual Misconduct Policy Student Conduct Review Panel Procedures

Michigan State University Anti-Discrimination Policy/Relationship Violence & Sexual Misconduct Policy Student Conduct Review Panel Procedures Michigan State University Anti-Discrimination Policy/Relationship Violence & Sexual Misconduct Policy Student Conduct Review Panel Procedures Background The University prohibits acts of harassment and

More information

PsyBar, LLC 6600 France Avenue South, Suite 640 Edina, MN 55435 Telephone: (952) 285-9000 Facsimile: (952) 848-1798

PsyBar, LLC 6600 France Avenue South, Suite 640 Edina, MN 55435 Telephone: (952) 285-9000 Facsimile: (952) 848-1798 PsyBar, LLC 6600 France Avenue South, Suite 640 Edina, MN 55435 Telephone: (952) 285-9000 Facsimile: (952) 848-1798 Updated 12/8/15 PSYBAR, L. L. C. INDEPENDENT CONTRACTOR AGREEMENT PsyBar attempts to

More information

Whistleblower Policy 28-10-2014 Version 2.0

Whistleblower Policy 28-10-2014 Version 2.0 Whistleblower Policy 28-10-2014 Version 2.0 Whistleblower Policy 2.0 1 of 9 Contents 1 Introduction... 3 2 Objectives... 3 3 Statutory framework... 3 4 BinckBank requirements... 4 5 Roles & responsibilities...

More information

Disclaimer: Template Business Associate Agreement (45 C.F.R. 164.308)

Disclaimer: Template Business Associate Agreement (45 C.F.R. 164.308) HIPAA Business Associate Agreement Sample Notice Disclaimer: Template Business Associate Agreement (45 C.F.R. 164.308) The information provided in this document does not constitute, and is no substitute

More information

FEDERAL HOUSING FINANCE AGENCY ADVISORY BULLETIN AB 2014-07 OVERSIGHT OF SINGLE-FAMILY SELLER/SERVICER RELATIONSHIPS. Purpose

FEDERAL HOUSING FINANCE AGENCY ADVISORY BULLETIN AB 2014-07 OVERSIGHT OF SINGLE-FAMILY SELLER/SERVICER RELATIONSHIPS. Purpose FEDERAL HOUSING FINANCE AGENCY ADVISORY BULLETIN AB 2014-07 OVERSIGHT OF SINGLE-FAMILY SELLER/SERVICER RELATIONSHIPS Purpose This advisory bulletin communicates the Federal Housing Finance Agency s (FHFA)

More information

Risk Management of Outsourced Technology Services. November 28, 2000

Risk Management of Outsourced Technology Services. November 28, 2000 Risk Management of Outsourced Technology Services November 28, 2000 Purpose and Background This statement focuses on the risk management process of identifying, measuring, monitoring, and controlling the

More information

COMPLIANCE ALERT 10-12

COMPLIANCE ALERT 10-12 HAWAII HEALTH SYSTEMS C O R P O R A T I O N "Touching Lives Every Day COMPLIANCE ALERT 10-12 HIPAA Expansion under the American Recovery and Reinvestment Act of 2009 The American Recovery and Reinvestment

More information

Standards of. Conduct. Important Phone Number for Reporting Violations

Standards of. Conduct. Important Phone Number for Reporting Violations Standards of Conduct It is the policy of Security Health Plan that all its business be conducted honestly, ethically, and with integrity. Security Health Plan s relationships with members, hospitals, clinics,

More information

Statement of Guidance: Outsourcing All Regulated Entities

Statement of Guidance: Outsourcing All Regulated Entities Statement of Guidance: Outsourcing All Regulated Entities 1. STATEMENT OF OBJECTIVES 1.1. 1.2. 1.3. 1.4. This Statement of Guidance ( Guidance ) is intended to provide guidance to regulated entities on

More information

Name of Other Party: Address of Other Party: Effective Date: Reference Number as applicable:

Name of Other Party: Address of Other Party: Effective Date: Reference Number as applicable: PLEASE NOTE: THIS DOCUMENT IS SUBMITTED AS A SAMPLE, FOR INFORMATIONAL PURPOSES ONLY TO ABC ORGANIZATION. HIPAA SOLUTIONS LC IS NOT ENGAGED IN THE PRACTICE OF LAW IN ANY STATE, JURISDICTION, OR VENUE OF

More information

D. Monitoring: A process utilized by Authority staff to systematically review the implementation and compliance of funded programs.

D. Monitoring: A process utilized by Authority staff to systematically review the implementation and compliance of funded programs. Abuse Disorder (SUD) Providers, Autism Spectrum Disorder Providers, Hospitals, Individuals (i.e., Physician (MD/DO), licensed clinicians, etc.) Services are provided via outpatient (ambulatory), residential

More information

AGREEMENT FOR ACCESS TO PROTECTED HEALTH INFORMATION BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND

AGREEMENT FOR ACCESS TO PROTECTED HEALTH INFORMATION BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AGREEMENT FOR ACCESS TO PROTECTED HEALTH INFORMATION BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND THIS AGREEMENT for Access to Protected Health Information ( PHI ) ( Agreement ) is entered

More information

SUBSTANCE ABUSE FACILITY GENERAL INFORMATION

SUBSTANCE ABUSE FACILITY GENERAL INFORMATION SUBSTANCE ABUSE FACILITY GENERAL INFORMATION I. BCBSM s Substance Abuse Facility Programs Traditional The Traditional BCBSM Substance Abuse Program provides benefits for the treatment of substancerelated

More information

MILWAUKEE ROOFERS HEALTH FUND

MILWAUKEE ROOFERS HEALTH FUND MILWAUKEE ROOFERS HEALTH FUND PRIVACY PRACTICES NOTICE October 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE

More information

BUSINESS ASSOCIATE AGREEMENT BETWEEN AND COMMISSION ON ACCREDITATION, AMERICAN PSYCHOLOGICAL ASSOCIATION

BUSINESS ASSOCIATE AGREEMENT BETWEEN AND COMMISSION ON ACCREDITATION, AMERICAN PSYCHOLOGICAL ASSOCIATION BUSINESS ASSOCIATE AGREEMENT BETWEEN AND COMMISSION ON ACCREDITATION, AMERICAN PSYCHOLOGICAL ASSOCIATION This Agreement governs the provision of Protected Health Information ("PHI") (as defined in 45 C.F.R.

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the Agreement ) is by and between ( Covered Entity )and CONEX Med Pro Systems ( Business Associate ). This Agreement has been attached to,

More information

The Seven Elements of a Vendor Oversight Program

The Seven Elements of a Vendor Oversight Program The Seven Elements of a Oversight Program DST Health Solutions September 2014 The Seven Elements of a Oversight Program The Seven Elements of a Oversight Program Medicare Advantage plans must gain efficiencies

More information

Policies and Procedures POLICY: Breach Notification and Mitigation Policy Policy #21 Effective Date: November 7, 2013

Policies and Procedures POLICY: Breach Notification and Mitigation Policy Policy #21 Effective Date: November 7, 2013 Policies and Procedures POLICY: Breach Notification and Mitigation Policy Policy #21 Effective Date: November 7, 2013 Purpose: HIPAA, HITECH, the Illinois Personal Information Protection Act ( PIPA ),

More information

SECTION 18 1 FRAUD, WASTE AND ABUSE

SECTION 18 1 FRAUD, WASTE AND ABUSE SECTION 18 1 FRAUD, WASTE AND ABUSE Annual FW&A Training Required for Providers and Office Staff 1 Examples of Fraud, Waste and Abuse 2 Fraud, Waste and Abuse Program Policy 3 Suspected Non-Compliance

More information

SCHOOL DISTRICT OF BLACK RIVER FALLS HIPAA PRIVACY AND SECURITY POLICY

SCHOOL DISTRICT OF BLACK RIVER FALLS HIPAA PRIVACY AND SECURITY POLICY SCHOOL DISTRICT OF BLACK RIVER FALLS HIPAA PRIVACY AND SECURITY POLICY School Board Policy 523.5 The School District of Black River Falls ( District ) is committed to compliance with the health information

More information

Human Resources Management

Human Resources Management INTRODUCTION In the social and human services field, an organization's workforce is its greatest asset. Since employees and volunteers perform the tasks and provide the services that fulfill the organization's

More information

TABLE OF CONTENTS. University of Northern Colorado

TABLE OF CONTENTS. University of Northern Colorado TABLE OF CONTENTS University of Northern Colorado HIPAA Policies and Procedures Page # Development and Maintenance of HIPAA Policies and Procedures... 1 Procedures for Updating HIPAA Policies and Procedures...

More information

INDIANA UNIVERSITY SCHOOL OF OPTOMETRY HIPAA COMPLIANCE PLAN TABLE OF CONTENTS. I. Introduction 2. II. Definitions 3

INDIANA UNIVERSITY SCHOOL OF OPTOMETRY HIPAA COMPLIANCE PLAN TABLE OF CONTENTS. I. Introduction 2. II. Definitions 3 INDIANA UNIVERSITY SCHOOL OF OPTOMETRY HIPAA COMPLIANCE PLAN TABLE OF CONTENTS I. Introduction 2 II. Definitions 3 III. Program Oversight and Responsibilities 4 A. Structure B. Compliance Committee C.

More information

BUSINESS ASSOCIATE AND DATA USE AGREEMENT NAME OF COVERED ENTITY: COVERED ENTITY FEIN/TAX ID: COVERED ENTITY ADDRESS:

BUSINESS ASSOCIATE AND DATA USE AGREEMENT NAME OF COVERED ENTITY: COVERED ENTITY FEIN/TAX ID: COVERED ENTITY ADDRESS: BUSINESS ASSOCIATE AND DATA USE AGREEMENT NAME OF COVERED ENTITY: COVERED ENTITY FEIN/TAX ID: COVERED ENTITY ADDRESS:, City State Zip This Business Associate and Data Use Agreement ( Agreement ) is effective

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ( Agreement ) by and between (hereinafter known as Covered Entity ) and Office Ally, LLC. (hereinafter known as Business Associate ), and

More information

Standard MS (formerly MS.1.20) Note: This standard goes into effect March 31, 2011

Standard MS (formerly MS.1.20) Note: This standard goes into effect March 31, 2011 Please note that two acronyms appear in this Standard: CAH and HAP. CAH stands for Critical Access Hospital Accreditation Program and HAP stands for Hospital Accreditation Program. These acronyms are used

More information

Prepared by: The Office of Corporate Compliance & HIPAA Administration

Prepared by: The Office of Corporate Compliance & HIPAA Administration Gwinnett Health System s Annual Education 2014 Corporate Compliance: Our Commitment to Excellence Prepared by: The Office of Corporate Compliance & HIPAA Administration Objectives After completing this

More information

AMERICANS WITH DISABILITIES ACT OF 1990 * * * DESIGNATION OF RESPONSIBLE PERSON AND INTERNAL GRIEVANCE PROCEDURE FOR THE SIXTH JUDICIAL CIRCUIT

AMERICANS WITH DISABILITIES ACT OF 1990 * * * DESIGNATION OF RESPONSIBLE PERSON AND INTERNAL GRIEVANCE PROCEDURE FOR THE SIXTH JUDICIAL CIRCUIT AMERICANS WITH DISABILITIES ACT OF 1990 * * * DESIGNATION OF RESPONSIBLE PERSON AND INTERNAL GRIEVANCE PROCEDURE FOR THE SIXTH JUDICIAL CIRCUIT I. AUTHORITY Federal regulations implementing the Americans

More information

Delaware Valley Dermatology Group, LLC 3411 Silverside Road Suite 107, Webster Building Wilmington, DE 19810 Phone: 302-478-8532 Fax: 302-478-8536

Delaware Valley Dermatology Group, LLC 3411 Silverside Road Suite 107, Webster Building Wilmington, DE 19810 Phone: 302-478-8532 Fax: 302-478-8536 Delaware Valley Dermatology Group, LLC 3411 Silverside Road Suite 107, Webster Building Wilmington, DE 19810 Phone: 302-478-8532 Fax: 302-478-8536 Notice of Privacy Practices THIS NOTICE DESCRIBES HOW

More information

Delegated Credentialing: Achieving Success for your Organization

Delegated Credentialing: Achieving Success for your Organization Delegated Credentialing: Achieving Success for your Organization Amy M. Niehaus, CPMSM, CPCS, MBA October 7, 2014 Objectives Name the key components of a delegated credentialing program under NCQA standards

More information

DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING N.J.A.C. 10:190 LICENSURE STANDARDS FOR MENTAL HEALTH PROGRAMS

DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING N.J.A.C. 10:190 LICENSURE STANDARDS FOR MENTAL HEALTH PROGRAMS DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING N.J.A.C. 10:190 LICENSURE STANDARDS FOR MENTAL HEALTH PROGRAMS Effective December 27, 2006. Expires December 27, 2011. (previously N.J.A.C. 10:37-10) SUBCHAPTER

More information

Quality Management Strategy

Quality Management Strategy Quality Management Strategy Participant Access: An assessment to determine eligibility is conducted by participating Acquired Brain Injury waiver (ABI) providers utilizing the Medicaid Waiver Assessment

More information

MSO/IPA Compliance Program

MSO/IPA Compliance Program MSO/IPA Compliance Program PROSPECT MEDICAL HOLDINGS, INC. MSO/IPA COMPLIANCE PROGRAM Coverage The terms of the Compliance Program set forth herein shall apply to, and govern, the medical group business

More information