Medicaid Quality Reporting -- Archive

Reporting includes information validated by Georgia’s External Quality Review Organization (EQRO). These validations are required by federal regulations. Documents in this archive are from 2017 and prior years.

External Quality Review Organization (EQRO)

• Annual Report - April 2017 - Posted 4/21/17
• Annual Report – April 2016 - Posted 04/27/16
• Annual Report - April 2015  - Posted 07/09/15
• Annual Report – January 2014 - Posted 01/23/14
• Annual Report – December 2013  - Posted 12/27/13

Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surveys

SFY2017 

• Georgia Medicaid Program Program Child Survey June 2017 - Posted 7/28/17
• Georgia Medicaid Program Adult Survey June 2017 - Posted 7/28/17
• Georgia Medicaid Program Child Medicaid Summary Report June 2017 - Posted 7/28/17
• Georgia Medicaid Program Adult Summary Report June 2017 - Posted 7/28/17
• PeachCare for Kids Program Child Medicaid Summary Report June 2017 - Posted 7/28/17
• PeachCare for Kids Program Child Survey June 2017  - Posted 7/28/17

SFY2016

• Georgia Medicaid Program Adult Survey Report June 2016  - Posted 07/8/16
• Georgia Medicaid Program Adult Summary Report June 2016  - Posted 07/8/16
• Georgia Medicaid Program Child Survey Report June 2016  - Posted 07/8/16
• Georgia Medicaid Program Child Summary Report June 2016  - Posted 07/8/16
• PeachCare for Kids Program Child Survey Report June 2016  - Posted 07/8/16
• PeachCare for Kids Program Child Summary Report June 2016  - Posted 07/8/16

SFY2015

• Georgia Medicaid Program Adult Summary Report July 2015 - Posted 07/28/15
• Georgia Medicaid Program Adult Survey Report July 2015  - Posted 07/28/15
• Peachcare for Kids Program Child Survey Report July 2015  - Posted 07/28/15
• Georgia Medicaid Program Child Summary Report  July 2015 - Posted 07/28/15
• Georgia Medicaid Program Child Survey July 2015 -Posted 07/28/15
• PeachCare for Kids Program Child Summary Report July 2015 - Posted 07/28/15

EQRO Validated Performance Improvement Projects

CY2016 Data

• AMERIGROUP 2016-17 CMO PIP Validation Report - Posted 6/29/17
• AMERIGROUP 2016-17 Georgia Families 360 CMO PIP Validation Report - Posted 6/29/17
• Peach State Health Plan 2016-17 CMO PIP Validation Report - Posted 6/29/17
• WellCare 2016-17 CMO PIP Validation Report - Posted 6/29/17

CY2015 Data  

• AMERIGROUP 2015-16 CMO PIP Validation Report - Posted 09/26/16
• AMERIGROUP Georgia Families 360 2015-16 CMO PIP Validation Report - Posted 09/26/16
• Peach State 2015-16 CMO PIP Validation Report - Posted 09/26/16
• WellCare 2015-16 CMO PIP Validation Report - Posted 09/26/16

CY2014 Data  

• AMERIGROUP 2015 CMO PIP Val Report Final 11.19.14 - Posted 04/09/15
• WellCare 2015 CMO PIP Val Report Final 11/19/14 - Posted 04/09/15
• PeachState 2015 CMO PIP Val Report Final 11/19/14  - Posted 04/09/15

CY2013 Data

•     AMERIGROUP Community Care PIP Validation Report FY14  - Posted 12/02/13
•     Peach State Health Plan PIP Validation Report FY14  - Posted 12/02/13
•     WellCare of Georgia PIP Validation Report FY14  - Posted 12/02/13

EQRO Compliance Reports

SFY2016

• Amerigroup 360 GA2016-17 Compliance Standards Report - Posted 7/28/17
• Amerigroup GA2016-17 Compliance Standards Report - Posted 7/28/17
• Peach State Health Plan GA 2016-17 Compliance Standards Report - Posted 7/28/17
• WellCare GA2016-17 Compliance Standards Report - Posted 7/28/17

SFY2015 Data 

• Amerigroup 360 GA2015-16 Compliance Standards Report  - Posted 03/17/16
• Amerigroup GA2015-16 Compliance Standards Report  - Posted 03/17/16
• Peach State GA2015-16 Compliance Standards Report  - Posted 03/17/16
• WellCare GA2015-16 Compliance Standards Report  - Posted 03/17/16

SFY2014  

• AMERIGROUP 2014-15 EQR Comp Standards Report F2 - Posted 04/09/15
• WellCare 2014-15 EQR Comp Standards Report F1 - Posted 04/09/15
• PeachState 2014-15 EQR Comp Standards Report F1 - Posted 04/09/15

EQRO Validated Performance Measures

CY 2018 Data

• 2019 Validation of Performance Measures for Amerigroup Community Care  - Posted 12/27/19
• 2019 Validation of Performance Measures for Amerigroup Community Care for Georgia Families 360°  - Posted 12/27/19
• 2019 Validation of Performance Measures for Georgia Department of Community Health  - Posted 12/27/19
• 2019 Validation of Performance Measures for Peach State Health Plan  - Posted 12/27/19
• 2019 Validation of Performance Measures for WellCare of Georgia, Inc .- Posted 12/27/19
• 2019 Validation of Performance Measures for CareSource - Posted 01/29/21

CY 2017 Data

• 2018 Validation of Performance Measures for Amerigroup Community Care  - Posted 8/28/18
• 2018 Validation of Performance Measures for Amerigroup Community Care for Georgia Families 360°  - Posted 8/28/18
• 2018 Validation of Performance Measures for Georgia Department of Community Health  - Posted 8/28/18
• 2018 Validation of Performance Measures for Peach State Health Plan  - Posted 8/28/18
• 2018 Validation of Performance Measures for WellCare of Georgia, Inc. - Posted 8/28/18

CY 2016 Data

• 2017 Validation of Performance Measures - Posted 8/28/17
• 2017 Amerigroup Community Care Validation of Performance Measures - Posted 8/28/17
• 2017 Georgia Families 360 Amerigroup Community Care Validation of Performance Measures - Posted 8/28/17
• 2017 WellCare of Georgia Validation of Performance Measures  - Posted 8/28/17
• 2017 Peach State Health Plan Validation of Performace Measures - Posted 8/28/17

CY 2015 Data

• Georgia Medicaid Performance Measures for CY12 through CY15  - Posted 09/26/16
• Georgia Medicaid Validated Performance Measures Report CY15 for GF, FFS, ALL and GF 360  - Posted 09/26/16
• Georgia Families Performance Measures for CY12 through CY15  - Posted 09/26/16
• AMERIGROUP Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16 
• AMERIGROUP GF360 Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16
• Peach State Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16
• WellCare Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16

CY 2014 Data

• Ga Medicaid Performance Measures for CY11 through CY14 - Posted 10/15/15
• Ga Medicaid Performance Measures Reports CY14 Validated Performance Measures for GF, FFS, ALL and GF 360   - Posted 10/15/15
• Georgia Families Performance Measures - August 2015 - Posted 08/20/15
• AMERIGROUP CMO Validation of Performance Measures - August 2015 - Posted 08/20/15 
• AMERIGROUP GF360 Ga2014-2015 CMO PMV - Posted 08/20/15
• Peach State Ga 2014-2015 CMO PMV - Posted 08/20/15
• WellCare of Ga 2014-2015 CMO PMV - Posted 08/20/15

CY 2013 Data

•   Georgia Families Performance Measures -- October 2014 -- Updated 10/24/14
•   WellCare of Georgia Inc. Validation of Performance Measures - September 2014  -- Posted 10/02/14
•   Peach State Health Plan Validation of Performance Measures - September 2014  -- Posted 10/02/14
• Amerigroup Community Care Validation of Performance Measures - September 2014  -- Posted 10/02/14
• Georgia Medicaid Performance Measures Grid CY11 thru CY213  - Posted 04/09/15
• Validation of Performance Measures for Reporting Period CY2013 for GF, FFS, MAO and CCSP  - Posted 04/10/15

Encounter Data

• Encounter Data Validation Study Final Report - January 2011

EQRO Validates Performance Improvement Projects

• AMERIGROUP Community Care PIP Validation Report FY13 December 2012 - Posted 12/04/12
• AMERIGROUP Community Care PIP Validation Report - October 2011
• AMERIGROUP Community Care PIP Validation Report - January 2011
   
• Peach State Health Plan PIP Validation Report FY13 December 2012 - Posted 12/04/12
• PeachState Health Plan PIP Validation Report - October 2011
• PeachState Health Plan PIP Validation Report - January 2011
   
• WellCare of Georgia PIP Validation Report FY13 December 2012 - Posted 12/04/12
• WellCare of Georgia, Inc. PIP Validation Report - October 2011
• WellCare of Georgia, Inc. PIP Validation Report - January 2011

EQRO Validated Performance Measures

CY 2012 Results

•  Validation of Performance Measures for Reporting Period CY2012 for GF, FFS, ALL, MAO, and CCSP Populations – REVISED - Updated 05/15/14
• Georgia Medicaid Performance Measures Grid – December 2013  - Posted 12/16/13

• Georgia Families Performance Measures – Updated October 2013   – Updated 10/21/13
• AMERIGROUP Community Care Validation of Performance Measures – September 2013  - Posted 09/25/13
• Peach State Health Plan Validation of Performance Measures – September 2013 - Posted 09/25/13
• WellCare of Georgia, Inc. Validation of Performance Measures – September 2013 - Posted 09/25/13
• Performance Measure Presentation to the Subcommittee of the DCH Board 091213 - Updated 10/24/13
• Georgia Families Performance Measures – September 2013 -- Updated 09/08/14

CY 2011 Results

• Georgia Medicaid Performance Measures Grid – October 2012 - Posted 10/29/12
• Performance Measure Presentation to the Subcommittee of the DCH Board – October 2012  - Posted 10/29/12
• AMERIGROUP Community Care Validation of Performance Measures  - Posted 08/24/12
• Georgia Families Performance Measures - August 2012  - Posted 08/14/12
• Peach State Health Plan Validation of Performance Measures  - Posted 08/24/12
• WellCare of Georgia, Inc. Validation of Performance Measures  - Posted 08/24/12
• Validation of the Performance Measures Reporting Period CY2011 for GF, FFS, and ALL Populations  - Posted 10/10/12

CY 2010 Results

• Validation of the Performance Measures Reporting Period - CY 2010 for the GF, FFS and ALL Populations - Posted 03/08/12
• Georgia Families Performance Measures  - August 2011
• AMERIGROUP Community Care Validation of Performance Measures
• Peach StateHealth Plan Validation of Performance Measures
• WellCare of Georgia, Inc. Validation of Performance Measures

CY 2009 Results

• DCH FY 2009 - 2010 Performance Measures - August 2010
• AMERIGROUP Community Care Validation of Performance Measures - January 2011
• Peach StateHealth Plan Validation of Performance Measures - January 2011
• WellCare of Georgia, Inc. Validation of Performance Measures - January 2011

External Quality Review Organization (EQRO)

• Annual Report-January 2013 - Posted 01/24/13

• Annual Report-June 2012 - Posted 06/22/12

• Annual Report-June 2012 - Posted 06/22/12
• Annual Report - September 2011
• Annual Report  2009-2010 - August 2010
• Annual Report  2008-2009  - March 2009

Quality Strategic Plans

• Quality Strategic Plan Update- December 2011  - Posted 01/13/12
• Quality Strategic Plan Update- January 2010 - Posted 3/26/2010
• Quality Strategic Plan Update- July 2008 - Posted 05/03/12; Released 2008
• Quality Strategic Plan Update- June 2007 - Posted  05/03/12; Released 2007