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HMO external quality assurance assessment - 28 Pa. Code § 9.654

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Within 18 months of enrollment, and every three years thereafter, an HMO must use an acceptable external quality review organization to conduct a quality assurance assessment, including a study of the quality of care provided to enrollees and the effectiveness of the HMO’s quality assurance program. 28 Pa. Code Chapter 9, Subchapter G, “HMO external quality assurance assessment” 28 Pa. Code § 9.654 

Current as of June 2015