PUBLIC HEALTH AND HUMAN SERVICES
37.108 - managed care quality assurance
37.108.201 definitions
37.108.205 access plan filing and review guidelines
37.108.206 access plan updates
37.108.207 access plan specifications
37.108.208 access criteria
37.108.214 mandatory coverage
37.108.215 provider-enrollee ratio requirements
37.108.216 verification of provider credentials
37.108.219 geographic access criteria
37.108.220 exceptions to geographic access criteria
37.108.221 service areas
37.108.227 maximum wait times for appointments
37.108.228 referral and specialty care requirements
37.108.229 continuity of care and transitional care
37.108.235 selecting and changing providers
37.108.236 removal of barriers to access
37.108.240 monitoring the network
37.108.241 letters of intent
37.108.242 responsibility for contracted services
37.108.250 corrective action
37.108.251 appeal from department decision
37.108.301 independent review of health care decisions: definitions
37.108.305 independent review of health care decisions: peer review process
37.108.306 independent review of health care decisions: confidentiality
37.108.310 independent review of health care decisions: notice of adverse determination and independent review rights
37.108.315 independent review of health care decisions: internal appeals process
37.108.501 purpose
37.108.502 definitions
37.108.505 quality assurance structure and accreditation
37.108.506 written description of quality assessment plan
37.108.507 components of quality assessment activities
37.108.510 quality improvement
37.108.511 clinical focused study
37.108.515 enrollee complaint system
37.108.516 recording consumer satisfaction
37.108.520 corrective action
37.108.521 informal reconsideration of department decision