V.1 Customer Services - Adobe PDF V.2 Enrollee Education - Adobe PDF V.3 Care Management - Adobe PDF V.4 Utilization Management - Adobe PDF V.5 Quality Assurance and Quality Improvement (Quality Management) - Adobe PDF V.6 Enrolle Grievances and Appeals - Adobe PDF V.7 Provider Network Management - Adobe PDF
V.8 Disclosure of Information on Ownership and Control - Adobe PDF V.9 Disclosure of Information on Business Transactions - Adobe PDF V.10 Facilities and Organization - Adobe PDF V.11 Management Information Systems - Adobe PDF V.12 Records - Adobe PDF V.13 Encounter Data and Claims - Adobe PDF V.14 Financial Reporting Requirements - Adobe PDF V.15 Clinical Reporting Requirements - Adobe PDF V.16 Fraud and Abuse - Adobe PDF V.17 Subcontracts - Adobe PDF V.18 Timeliness of Provider Payments - Adobe PDF V.19 Financial Management and Monitoring - Adobe PDF V.20 Enrollment and Disenrollment - Adobe PDF V.21 Pending Lawsuits and Litigation - Adobe PDF