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9.6 The state assures it will provide the Secretary with access to any records or information relating to the plan for purposes of review of audit. (Section 2107(b)(3)) (42CFR 457.720)
9.7 The state assures that, in developing performance measures, it will modify those measures to meet national requirements when such requirements are developed. (42CFR 457.710(e))
9.8 The state assures, to the extent they apply, that the following provisions of the Social Security Act will apply under Title XXI, to the same extent they apply to a state under Title XIX: (Section 2107(e)) (42CFR 457.135)
9.8.1
Section 1902(a)(4)(C) (relating to conflict of interest standards) 9.8.2
Paragraphs (2), (16) and (17) of Section 1903(i) (relating to limitations on payment) 9.8.3
Section 1903(w) (relating to limitations on provider donations and taxes) 9.8.4
Section 1132 (relating to periods within which claims must be filed)
9.9 Describe the process used by the state to accomplish involvement of the public in the design and implementation of the plan and the method for insuring ongoing public involvement. (Section 2107(c)) (42CFR 457.120(a) and (b))
Division of Insurance Administration and CoverKids program representatives have held a number of meetings during the summer of 2006 to inform the public and provider groups about plans for CoverKids and obtain input on program design. The meetings took place in various locations throughout the state to facilitate participation of a wide range of groups, including four children’s hospitals and representatives from a number of advocacy groups. The following meetings have been held: • Vanderbilt Children’s Hospital - CEO, administrators, and hospitalists - 7/20 • Nashville area community pediatric providers - 7/20 • T.C. Thompson Children’s Hospital (Chattanooga) - CEO, administrators, and hospitalists - 7/25 • Chattanooga area community pediatric providers - 7/25 • East Tennessee Children’s Hospital (Knoxville) - CEO, administrators, and hospitalists - 7/26 • Knoxville area community pediatric providers - 7/26 • LeBonheur Children’s Hospital (Memphis) - CEO, administrators, and hospitalists - 7/28 • Memphis area community pediatric providers - 7/28 • Governor’s Office of Children’s Care Coordination Steering Committee
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