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Health Maintenance Organization Quality Management Program Requirements – Ind. Code Ann.§ 27-13-6-3

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The health maintenance organization’s (HMO) quality management program must include the following:

1.      A written statement of purpose and scope that emphasizes improved quality of care;

2.      An organizational structure to oversee the program;

3.      Confidentiality policies;

4.      System of ongoing evaluation activities;

5.      A system for credentialing providers and a peer review system.

Related Laws: Ind. Code § 27-13-6-2; Ind. Code § 27-13-6-4; Ind. Code § 27-13-6-5; Ind. Code § 27-13-6-6; Ind. Code § 27-13-6-7; Ind. Code § 27-13-6-8; Ind. Code § 27-13-6-9

Current as of June 2015