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  1. Valley Health Plan (VHP) is proud to announce its successful completion of the NCQA HEDIS (Healthcare Effectiveness Data and Information Set) Audit. Passing this assessment demonstrates that VHP meets strict quality standards when providing healthcare coverage and services to members.

  2. The Quality Management (QM) Program supports many of the activities of the Utilization Management, Provider Relations, Member Services, and Health Education Departments at Valley Health...

  3. Quality standards are tools for helping our health care systems deliver consistent, high-quality care to support the health of patients and the population. They describe key aspects of high-quality services for a condition or topic to guide opportunities for improvement.

  4. All practitioners must demonstrate to the satisfaction of the Plan/Group that he/she is capable of providing health care services to Members that meet the standards established by the...

  5. This manual provides information about how to work with VHP and will describe how will we work together. The Provider Manual also contains policies, procedures, regulatory/contractual requirements to support you in providing comprehensive care to our Members and is designed to help your understanding of our programs and processes. We will ...

  6. The health plan and quality department are required to conduct regular Medical/Mental health provider audits as part of the oversight process. Mental Health records have the same...

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  8. Valley Health Plan (VHP) is proud to announce its successful completion of the NCQA HEDIS (Healthcare Effectiveness Data and Information Set) Audit. Passing this assessment demonstrates that VHP meets strict quality standards when providing healthcare coverage and services to members.

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