HMO Complaint Category Reporting
MDH goals were to have complaint category reporting by HMOs to be;
- As least burdensome as possible yet meet the statutory requirements;
- Consistent with Statutory language;
- Comparable to grievance reporting done to DHS for MHCP;
- Easily mapped to NCQA categories.
To that end, the following are the required complaint category reporting;
- Complaint categories with definitions;
- Complaint outcomes;
- Quality of Care Severity levels;
- HMO Complaint Reporting Requirements.
A template for HMOs to use for reporting the Complaint Category data to MDH will be posted at a later date.
For more information, email Tricia VanEschen.