External Quality Reports
States that use Medicaid managed care must have an external quality review organization (EQRO) determine the state's Managed Care Entities' compliance with federal and state requirements related to:
- Member access to care,
- Managed care structure and operations, and
- Quality measurement and improvement.
Health Services Advisory Group, is Oregon's EQRO. 42 CFR §438.358 identifies mandatory and optional activities the EQRO may perform.
Other Reports