BEFORE THE COMMISSIONER OF SECURITIES AND INSURANCE

OFFICE OF THE MONTANA STATE AUDITOR

 

In the matter of the transfer of ARM Title 37, chapter 108, subchapter 5 pertaining to Quality Assurance for Managed Care Plans

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NOTICE OF TRANSFER

TO: All Concerned Persons

 

            1. The Department of Public Health and Human Services (DPHHS) transfers the above-stated rules to the Commissioner of Securities and Insurance, Office of the Montana State Auditor (CSI), in ARM Title 6, chapter 6, subchapter 89.

 

            2. This transfer is required because House Bill 156, Sections 38 through 53, 68th Legislature (2023), transferred from DPHHS to the CSI the administrative function and responsibilities related to ensuring compliance with standards for quality assurance and quality improvement for managed care plans. 

 

3. The transferred rules are assigned the following numbers under the CSI:

 

OLD                            NEW

37.108.501                6.6.8901                     PURPOSE

37.108.502                6.6.8902                     DEFINITIONS

37.108.505                6.6.8905                     QUALITY ASSURANCE STRUCTURE

                                                                                    AND ACCREDITATION     

37.108.506                6.6.8906                     WRITTEN DESCRIPTION OF QUALITY

                                                                                    ASSESSMENT PLAN

37.108.507                6.6.8907                     COMPONENTS OF QUALITY

                                                                                    ASSESSMENT ACTIVITIES

37.108.510                6.6.8910                     QUALITY IMPROVEMENT

37.108.511                6.6.8911                     CLINICAL FOCUSED STUDY

37.108.515                6.6.8915                     ENROLLEE COMPLAINT SYSTEM

37.108.516                6.6.8916                     RECORDING CONSUMER

                                                                                    SATISFACTION

37.108.520                6.6.8920                     CORRECTIVE ACTION

37.108.521                6.6.8921                     INFORMAL RECONSIDERATION OF

                                                                                    DEPARTMENT DECISION

 

            4. The transfer of these rules is effective January 1, 2024.

 

 

/s/ Ole Olson                                                 /s/ Mary Belcher                  

Ole Olson                                                      Mary Belcher

Rule Reviewer                                              Deputy Auditor

                                                                        Commissioner of Securities and Insurance,

                                                                        Office of the Montana State Auditor

 

 

Certified to the Secretary of State October 10, 2023.