Recently Published
- Resolution of Standard Appeals Within 30 Calendar Days
- Health Risk Assessment Quarterly Completions
- Health Risk Assessment Completion for Higher Risk Populations - NHHPP Members
- Appeals Elevated to State Fair Hearing
- Prenatal and Postpartum Care: Postpartum Care Rate (CMS Adult Core Set) - Excluding NHHPP Members
Highlights
The Medicaid Care Management Quarterly Quality Updates
The Medicaid Care Management (MCM) quality updates is a MCM program outcomes focused series of presentations. Each quarter a meeting is facilitated by the Office of Quality Assurance and Improvement (QAI), with various guest presenters including Managed Care Organizations or the External Quality Review Organization to review reports and answer questions. Current schedule is available in the Standard Reports section of this website.
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Emergency Department Visits - Potentially Treatable in Primary Care by Eligibility Group - Excluding NHHPP Members
The Emergency Department is not the best setting for primary care health services. A high or increasing number of visits could indicate that members are having difficulty accessing primary care services. This measure describes emergency department visits for reasons that might have been managed in a doctor’s office (for example, colds, rashes, etc.).
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