A.__Operation of the plan;

B.__Use of covered health care services of participating and nonparticipating providers;

C.__Evaluation of the performance of participating providers;

D.__Standards and continuity of care;

E.__A plan for increased delivery of preventive and primary care;

F.__Access to information and data for the agency;

G.__A plan to ensure that the open plan and organized delivery systems address public health needs;

H.__Plan member involvement in policy decisions; and

I.__An efficient complaint resolution process regarding quality of care and utilization and rate controls.

2.__Affordability of care.__The agency shall establish an affordability assurance program and shall adopt rules to implement that program.__Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.__The program must include, but is not limited to:

A.__Rates of compensation for participating providers in organized delivery systems and in the open plan;

B.__Operation of the Small Business Hardship Fund to assist employers for which the plan constitutes a hardship;

C.__Maintenance of a prescription drug formulary; and

D.__Cost containment mechanisms for organized delivery systems and for the open plan.__Cost containment mechanisms may include primary care case management, guaranteed provider payment, variable reimbursement rates for providers, review of treatment and services concurrent with the provision of the treatment and services, expenditure targets, practice parameters and treatment norms.