SECTION 310:657-13-4. Governing body oversight

Latest version.

The Plan's governing body or its designee shall be responsible for quality assurance, quality improvement, and utilization review actions. The governing body or designee shall approve and regularly evaluate these programs. If the Plan contracts with other entities to operate these programs, then the governing body or designee may consider reports from those entities instead of conducting its own evaluations. The governing body or designee shall receive reports of quality assurance, quality improvement and utilization review actions at least once every six (6) months.

[Source: Added at 12 Ok Reg 2977, eff 6-16-95 (emergency); Added at 13 Ok Reg 2127, eff 6-13-96]

                    
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