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3 Effective Date: July 1, 2009

Approval Date:

Section 7. Quality and Appropriateness of Care ............................................................. 40 7.1. ............................................................................................................................... 40 7.2. ............................................................................................................................... 42 Availability of Practitioners ........................................................................................... 43 Section 8. Cost Sharing and Payment (Section 2103(e)) ............................................... 47 8.1. ............................................................................................................................... 47 8.2. ............................................................................................................................... 47 8.3. ............................................................................................................................... 48 8.4. ............................................................................................................................... 48 8.5. ............................................................................................................................... 49 8.6. ............................................................................................................................... 49 8.7. ............................................................................................................................... 49 8.8. ............................................................................................................................... 51 8.8.5. ............................................................................................................................ 51 Section 9. Strategic Objectives and Performance Goals and Plan Administration (Section 2107) ................................................................................................................................ 52 9.1. ............................................................................................................................... 52 9.2. ............................................................................................................................... 52 9.3. ............................................................................................................................... 52 9.4. ............................................................................................................................... 54 9.5. ............................................................................................................................... 54 9.6. ............................................................................................................................... 54 9.7. ............................................................................................................................... 54 9.8. ............................................................................................................................... 54 9.9. ............................................................................................................................... 54 9.10. ............................................................................................................................. 56 Section 10. Annual Reports and Evaluations (Section 2108) .......................................... 61 10.1. Annual Reports. ............................................................................................... 61 10.2. ............................................................................................................................. 61 10.3. ............................................................................................................................. 61