4-5 Vt. Code R. 3:10.600 - Additional quality and care management requirements for certain managed care organizations under the Department of Financial Regulation regulations

“Additional quality and care management requirements for certain managed care organizations under the Department of Financial Regulation regulations”

Each managed care organization must adopt written policies and procedures available to staff and providers that addresses maintenance of clinical records and minimum content, confidentiality protections, retention, and access by members to their individual records.

Managed care organizations must establish an internal system capable of identifying opportunities to improve care and the organization’s management of care.  Each managed care organization’s quality management program must include a peer review or quality management committee that is responsible for quality management activities. Records of the peer review or quality management committee are confidential.