General Requirements

150.1 – General Requirements (Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11) 42 CFR 422.152(a) MA organizations offering PFFS plans must meet the requirement that MA plans have an ongoing quality improvement program. As part of its ongoing quality improvement program, a PFFS must: • Have chronic care improvement programs; • Conduct quality improvement projects on an annual basis; and • Encourage its providers to participate in CMS and HHS quality improvement initiatives. PFFS plans are required to meet this requirement only for their direct- contracting providers (i.e., providers who have a signed contract with the plan). In order to implement the quality improvement program requirements, MA organizations should follow guidance in Chapter 5 of this manual and seek assistance from State Quality Improvement Organizations as well as CMS.