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 2012 and prior years.

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