31 Pa. Code § 152.19 - Annual reporting requirements
An approved risk-assuming preferred provider organization shall file with the Secretary and the Commissioner on or before March 31 of each year an annual report of its activities during the prior calendar year. Annual reports include:
(1) A copy of
the annual financial statement required by §
152.21 (relating to financial
statements and examinations).
(2) A
description of results in its quality assurance activities undertaken during
the year.
(3) A summary of the
number of covered persons in the preferred provider organization.
(4) A summary of total number of grievances
handled, a compilation of causes underlying the grievances and the resolution
of grievances.
(5) A summary of
utilization experience of the preferred provider organization.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.