MOU Quarterly Meeting and Quality Improvement Requirements FAQs
1. Why are the quarterly meetings required?
Parties are required to meet at least quarterly to address care coordination, Quality Improvement (QI) activities, QI outcomes, systemic and case-specific concerns, and to foster ongoing communication and collaboration among parties. These meetings are intended to increase coordination and communication between the two parties. These meetings may be conducted virtually.
Within 30 Working Days after each quarterly meeting, the Managed Care Plan (MCP) must post on its website the date and time the quarterly meeting occurred and distribute to meeting participants a summary of any follow-up action items or changes to processes that are being made as a result of the meetings, as applicable.
2. Why are MCPs required to post quarterly meeting information on their website after the meeting occurs? Are these meetings public?
Within 30 Working Days after each quarterly meeting, the MCP must post on its website the date and time the quarterly meeting occurred. MCPs are required to post quarterly meetings because they serve as a crucial mechanism to bolster coordination and facilitate improved communication between parties, and stakeholders want assurance that these activities are taking place.
These meetings are not intended to be public forums, and there is no current requirement to make meeting materials public. The location of the meeting does not need to be posted.
3. What is the purpose of, and expectations related to MOU Quality Improvement (QI)?
The QI provisions in the MOU Templates are intended to encourage the parties to develop and document activities for how they will assess whether the MOU is improving care coordination and whole-person care and to develop mechanisms to evaluate whether the MOU is effective in achieving its goals. The Parties must develop QI activities specifically for the oversight of the MOU requirements, including, without limitation, any applicable performance measures, and QI initiatives, including those to prevent duplication of services, as well as reports that track referrals, Member engagement, and service utilization. The MCP must document these QI activities in its policies and procedures. MOU QI does not need to meet the QI regulations governing MCPs and/or QI regulations governing specific Third-Party Entities.
