Role of Participating Providers

ValueOptions' providers are informed about the Quality Management Program via the ValueOptions’ Provider Handbook, provider newsletters, Web site information, direct mailings, seminars and training programs.  Many of these venues provide network providers with the opportunity to provide input into the QM Program.  Opportunities for provider participation and input into the QM Program also include representation on a number of National and VO-KS service center level committees (for details on committee participation contact the ValueOptions Topeka Service Center at 1-866-645-8216.)  Through these venues, participating providers:

• Provide input into the ValueOptions’ Clinical Criteria;
• Provide peer review and feedback on proposed practice guidelines, clinical quality monitors and indicators, new technology and any critical issues regarding policies and procedures of ValueOptions;
• Review QI activities and make recommendations for improvement plans to improve quality of clinical care and service;
• Review, evaluate and make recommendations for the credentialing and recredentialing of network providers; and
• Review, evaluate and make recommendations regarding sanctions that result from provider performance issues.

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