Sec. 1. (a) A health maintenance organization shall establish procedures based on professionally recognized standards to assess and monitor the health care services provided to enrollees of the organization.
(b) The procedures established under this section must include mechanisms to implement corrective action when necessary and to assess the availability, accessibility, and continuity of care.
As added by P.L.26-1994, SEC.25.
Structure Indiana Code
Article 13. Health Maintenance Organizations
Chapter 6. Quality Management Programs
27-13-6-1. Procedures; Establishment
27-13-6-2. Internal Quality Management Program Required
27-13-6-3. Quality Management Program Requirements
27-13-6-4. Written Statement of Quality Management Activities
27-13-6-5. Written Plans for Correcting Insufficient Service
27-13-6-6. Patient Record System
27-13-6-7. Reporting Quality Management Program Activities
27-13-6-8. Records of Proceedings; Confidentiality