(b) The scope of the quality assurance program shall include, at a minimum:
- (1) Organizational arrangements and responsibilities for quality management and improvement processes;
- (2) A documented utilization management program;
- (3) Written policies and procedures for credentialing and recredentialing physicians and other licensed providers who fall under the scope of authority of the prepaid limited health service organization;
- (4) A written policy that addresses enrollees' rights and responsibilities;
- (5) The adoption of practice guidelines for the use of preventive health services; and
- (6) Any other criteria considered necessary by the commissioner.