Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.50 - Health Maintenance Organizations (HMO)
Rule 37.86.5035 - HEALTH MAINTENANCE ORGANIZATIONS: QUALITY ASSURANCE
Universal Citation: MT Admin Rules 37.86.5035
Current through Register Vol. 6, March 22, 2024
(1) An HMO must have in effect an internal quality assurance system as specified in the contract.
(2) An internal quality assurance system must meet the requirements of 42 CFR 434.34. The department hereby adopts and incorporates by reference 42 CFR 434.34, dated October 1998.
(a) Copies of 42 CFR 434.34 may be obtained
through the Department of Public Health and Human Services, Health Policy and
Services Division, 1400 Broadway, P.O. Box 202951, Helena, MT
59620-2951.
Sec. 53-2-201 and 53-6-113, MCA; IMP, Sec. 53-2-201, 53-6-101, 53-6-113 and 53-6-116, MCA;
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