Humana Healthy Horizons in South Carolina 2024 external quality review

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Authors
South Carolina Department of Health and Human Services
Constellation Quality Health
Issue Date
2024-03-07
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Medicaid--South Carolina , Humana Healthy Horizons
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2024 external quality review
Abstract
The Balanced Budget Act of 1997 requires State Medicaid Agencies that contract with Managed Care Organizations to evaluate their compliance with state and federal regulations in accordance with 42 Code of Federal Regulations 438.358. This report contains a description of the process and the results of the 2024 External Quality Review that Constellation Quality Health, formerly The Carolinas Center for Medical Excellence, conducted on behalf of the South Carolina Department of Health and Human Services. This review determines the level of performance demonstrated by Humana Healthy Horizons in South Carolina since the 2023 Annual Review.
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Records, documents, and information made available by the agencies of the South Carolina state government or its subdivisions are made accessible through the South Carolina State Library Depository and are protected under U.S. Copyright law (Title 17, U.S.C.) and South Carolina state law (Title 30 and 60, S.C.C.L.). Distribution rights are determined by the agency or author and users should contact the aforementioned for more information.
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