The Commission performed monitoring for several types of significant contract deliverables, and it applied contract remedies based on the
results of that monitoring. However, the Commission was unable to apply contract remedies for certain contract requirements because it did not
have processes to identify MCO noncompliance for those requirements. That included not performing utilization reviews for most Medicaid programs
and not monitoring to identify MCO noncompliance related to specific pharmacy performance standards.
In addition, for some other areas, the Commission did not incorporate the results of its monitoring into its contract remedies process,
and it did not consistently ensure that it applied contract remedies for MCO noncompliance related to certain access-to-care requirements.
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