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6.6.4906    TIMELINES FOR REQUIRED REPORTING

(1) Pursuant to 33-40-105, MCA, a patient-centered medical home shall report on its compliance with quality and performance measures to participating health plans and other payers and the commissioner, no later than March 31 of each year, beginning with 2015, or according to the timeline required by its contract with each payer, whichever is earlier. The commissioner may request that the report also include other information necessary to the evaluation of the Montana patient-centered medical home program.

(2) A health plan and other payers shall report to the patient-centered medical home and the commissioner regarding their compliance with the uniform set of cost and utilization measures set forth in the Act, these rules, or in the provider/payer contract, no later than March 31 of each year, beginning with 2015, or according to the timeline required by its contract with each patient-centered medical home, whichever is earlier.

(3) The commissioner shall share with the public, in the form of a summary report, de-identified, nonconfidential information contained in the reports listed in (1) and (2) at least once a year, beginning in June 2015.

History: 33-40-104, MCA; IMP, 33-40-104, 33-40-105, MCA; NEW, 2013 MAR p. 1686, Eff. 9/20/13; AMD, 2014 MAR p. 3051, Eff. 12/25/14.

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