Regulations of Connecticut State Agencies
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.
(Adopted effective October 12, 2005)