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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 set forth in these rules to participating health plans and other payors and the commissioner, no later than April 30 of each year, or according to the timeline required by its contract with each payor, 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 payors 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 these rules or in the provider/payor contract, no later than April 30 of each year, or according to the timeline required by its contract with each patient-centered medical home, whichever is earlier. The commissioner may request that the report also includes other information necessary to the evaluation of the Montana patient-centered medical home program.

(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) and ARM 6.6.4907 no later than August 31 of each year.

 

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; AMD, 2017 MAR p. 85, Eff. 1/7/17.

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