HB 2154 - DIGEST

 

     Directs the department of health to adopt comprehensive quality assurance standards that each health carrier must meet.  These standards must be reviewed and modified as appropriate at least every three years.  Standards must include:  (1) A requirement for an internal quality assurance system to apply to each health carrier and any entity with which it contracts for services;

     (2) performance and outcomes-based quality standards;

     (3) a process to take remedial action to correct quality problems;

     (4) a process for credentialing and recredentialing of providers;

     (5) uniform data collection and reporting requirements; and

     (6) other items required by the department of health.