(a) Capacidad, eficiencia y adecuacidad del sistema de información utilizado para registrar encuentros y procesar reclamaciones electrónicamente.
(b) Disponibilidad y eficiencia de los programas de contención de costos, incluyendo la revisión de utilización y programas de garantía de calidad.
(c) Capacidad, administrativa y financiera de la organización proponente, incluyendo la red de proveedores de cuidado coordinado.
(d) Disponibilidad de programas de medicina preventiva.
(e) Disponibilidad de médicos primarios y especialistas.
(f) Disponibilidad de salas de emergencia.
(g) Disponibilidad de programas de quejas y querellas por parte de los beneficiarios y plan de cumplimiento conforme a los estatutos locales y federales aplicables.
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