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QI Program

Our primary goal is to improve members’ health status. We do this through quality improvement activities implemented across all care settings. We also aim to improve quality of care and services delivered.

Scope

The scope of the QI Program is comprehensive. It addresses both the quality and safety of clinical care. It also addresses quality of services provided to Arkansas Total Care's members. This includes medical and behavioral health. It also includes dental and vision care.

We incorporate all care settings and services in QI activities. It includes preventive care and emergency care. It also includes primary care, specialty care, and acute care. Depending upon Arkansas Total Care’s products, it also includes short-term care and long-term care.

Credentialing Standards

All licensed healthcare professionals must complete an application to take part. This includes everyone who has participated with Arkansas Total Care before. Individuals must submit copies of supporting documentation.

Cultural Competency Plan

Arkansas Total Care supports multicultural principles. We are establishing practices throughout our organizational systems of services and programs. We support the health care needs of all individuals.

Participation in QI

Arkansas Total Care requires providers and practitioners to cooperate with all Quality Improvement activities. Arkansas Total Care allows the use of provider and/or practitioner performance data. The Arkansas Total Care QI Program Outline is available upon request. Please contact Arkansas Total Care if you like to learn more about Arkansas Total Care's QI Program. Please call 1-866-282-6280 or TTY: 711 and ask to speak with the Quality Improvement Department.

Arkansas Total Care Update

Arkansas Total Care is committed to upholding good multicultural practices in all of our services and programs. We want to make sure that we deliver services in a culturally competent way for all of our members. Arkansas Total Care does not discriminate against any of our members due to race, language, background, or sex.

To make sure all of our members are treated fairly, we strive to respond to all health needs. Arkansas Total Care offers non-medical community supports to each of our members.

Arkansas Total Care gathers data on our members’ race, ethnicity, and language needs per the standards set by the Office of Management and Budget (OMB) and Section 4301 of the Affordable Care Act (ACA). We do this so that we can work to improve the services we offer to fit the needs of our members.

The Department of Health & Human Services (HHS) has a set of Culturally and Linguistically Appropriate Services (CLAS) standards in place to create health equity. Arkansas Total Care uses CLAS standards as a key part of our program to serve our members. These standards are reviewed by our CLAS Task Force on a regular basis. We strive to meet these standards and are always seeking ways to improve.

If you would like a copy of our full Cultural Competency Plan, please email Quality.com@centene.com. We will be happy to assist you.