- (1) The sources for enrollment data are carriers. Each carrier shall include any eligible enrollee in the sampling frame.
- (2) Each carrier shall create the sampling frame according to the criteria outlined in the National Committee for Quality Assurance Survey Specifications, incorporated by reference in Subsection R428-1-4(2).
- (3) The department may audit the sampling frame and any procedure used by the reporting carrier.
- (4) Each carrier shall copy the sampling frame using an electronic medium acceptable to the survey agency and submit the copy to the survey agency.
- (5) Each carrier shall fill out the Sample Description sheet provided by the survey agency and submit the sheet with the electronic sample file. Each carrier shall submit to the survey agency the sampling frame for each of its products no later than four weeks after the receipt of the sampling memo from the survey agency.
KEY: health maintenance organization, performance measurement, health care quality, preferred provider organization
Date of Last Change: January 15, 2025
Notice of Continuation: August 13, 2021
Authorizing, and Implemented or Interpreted Law: 26B-8-501.1; 26B-8-507