Health maintenance organizations: qualification determinations during the period January 1, 1994 through March 31,...

Area of Science:

• Public Health Policy
• Healthcare Administration

Background:

• Federal regulations mandate the publication of Federally Qualified Health Maintenance Organizations (FQHMOs).
• Specific regulations (42 CFR 417.144 and 417.163) require public notice of FQHMO determinations.

Purpose of the Study:

• To announce entities determined to be FQHMOs during Q1 1994.
• To provide updated information on FQHMOs' service areas and qualification dates.
• To comply with federal transparency requirements for healthcare organizations.

Main Methods:

• Publication in the Federal Register.
• Listing names, addresses, and service areas of qualified entities.
• Documenting dates of qualification or expansion.

Main Results:

• Identification of specific FQHMOs qualified or expanded during the specified period.
• Details on service areas and qualification timelines provided.
• Compliance with regulatory publication requirements achieved.

Conclusions:

• The notice fulfills regulatory obligations for public disclosure of FQHMO information.
• Stakeholders can access information on qualified health plans and their service areas.
• Ensures transparency in the designation and operation of FQHMOs.