Responsibilities of the ASO (Repealed)

Responsibilities of the ASO shall include, but not be limited to, the following: (1) Member services as defined in section 17b-192-2 of the Regulations of Connecticut State Agencies; (2) Quality management as defined in section 17b-192-2 and described in section 17b-192-7 of the Regulations of Connecticut State Agencies; (3) Utilization management as defined in section 17b-192-2 and described in section 17b-192-7 of the Regulations of Connecticut State Agencies; (4) Intensive care management as defined in section 17b-192-2 and described in section 17b-192-7 of the Regulations of Connecticut State Agencies; (5) Provider contracting and credentialing; (6) Provider contract oversight; (7) Programmatic and financial reporting; (8) Grievance resolution process as described in section 17b-192-12 of the Regulations of Connecticut State Agencies; (9) Health care provider appeal process as described in section 17b-192-12 of the Regulations of Connecticut State Agencies; and (10) Claims processing.