Maximizing Medicaid and CHIP Managed Care Quality Resources to Improve Care
Tuesday, Febuary 25, 2020
Ensuring optimal care for Medicaid and CHIP beneficiaries requires ongoing quality assessment and use of the results to drive quality improvement. This session will present an overview of the federal policy requirements for managed care states, including the state's Quality Strategy (QS), the managed care organization's Quality Assessment and Performance Improvement (QAPI) plan, the external quality review organization's Technical Report (EQRO TR), and how these resources can be aligned to support optimal beneficiary health care. Speakers from Pennsylvania will describe how the state's Integrated Care Program (ICP) aligns the Medicaid agency's managed care policies, behavioral health and physical health managed care organizations, and the EQRO to focus on whole person care for those living with serious mental illness and/or substance use disorder. The session will also include an overview of the in-development Medicaid and CHIP Quality Rating System, new EQR protocols, and the new Quality Strategy toolkit.
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