The New Hampshire Medicaid Care Management Quality Strategy is technical document required by the Code of Federal Regulations, CFR438.200, and the Center for Medicare and Medicaid Services programs to ensure the delivery of quality health care by managed care organizations. While the overview of quality activities are addressed, the document is not intended to comprehensively describe all the activities that DHHS undertakes to ensure Medicaid program quality.
The EQRO technical report is an annual summative account of a wide variety of activities conducted to evaluate individual NH Managed Care Organization’s performance as well as evaluation of the Medicaid Care Management program.
The Medicaid Quality Program conducts a variety of activities to monitor New Hampshire Medicaid beneficiaries access to care.
The Department of Health and Human Services (DHHS) conducts semi-annual qualitative studies that evaluate Medicaid members's experience with the Care Management Program. While the Department is pleased to conduct and release the study of these qualitative results, it is recommended to be viewed as a single point in evaluating the full membership's experience.
The Office of Quality Assurance and Improvement commissions annual quality studies focusing on a wide variety of issues related to the Medicaid Care Management program.
Choosing the managed care plan that works best for you and your family is important. One thing to think about before you decide is how well the different plans perform. This brief report shows how Medicaid managed care plans compare using a few of the quality measures collected by the Department of Health and Human Services.
The Medicaid Care Management (MCM) quality updates is a MCM program outcomes focused series of presentations. These meetings are 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.