(a) The Medicaid Agency shall create a quality assurance committee appointed by the Medicaid Commissioner to review the care rendered through the integrated care networks. The members of the committee shall serve two-year terms. The Medicaid Agency shall promulgate a rule establishing the membership and criteria to serve on the quality assurance committee.
(b) The Medicaid Agency shall continuously evaluate the outcome and quality measures adopted by the committee pursuant to this section.
(c) The Medicaid Agency shall utilize available data systems for reporting outcome and quality measures adopted by the committee and take actions to eliminate any redundant reporting or reporting of limited value.
(d) The Medicaid Agency shall publish the information collected under this section at aggregate levels that do not disclose information otherwise protected by law. The information published shall report all of the following:
(1) Quality measures.
(2) Costs.
(3) Outcomes.
(4) Other information, as specified by the contract between the integrated care network and the Medicaid Agency, that is necessary for the Medicaid Agency to evaluate the value of health services delivered by an integrated care network.
Structure Code of Alabama
Title 22 - Health, Mental Health, and Environmental Control.
Title 1 - Health and Environmental Control Generally.
Section 22-6-220 - Definitions.
Section 22-6-221 - Service by Integrated Care Network; Board of Directors.
Section 22-6-222 - Citizens' Advisory Committee.
Section 22-6-223 - Solvency and Financial Requirements.
Section 22-6-225 - Denial of Claims; Grievances and Appeals.
Section 22-6-227 - Quality Assurance Committee; Reporting Requirements.
Section 22-6-228 - Risk Contracts.
Section 22-6-229 - Termination of Certification.
Section 22-6-230 - Rates for Contracting Services; Provider Requirements.
Section 22-6-231 - Implementation of Article.
Section 22-6-232 - Coverage of Medicaid Beneficiaries by Integrated Care Networks.
Section 22-6-234 - Advance Directive for Health Care Options.
Section 22-6-235 - Rulemaking Authority.
Section 22-6-236 - Construction and Application of &Sect;ยง22-6-220 Through 22-6-234.