Your Oregon Medicaid EQRO Site
To navigate, use the blue rectangle to the right titled Oregon Medicaid EQRO. Find resources on compliance monitoring reviews, technical reports, and more.
Oregon Medicaid External Quality Review Organization
- As required by 42 CFR §438.358, a state Medicaid agency, an EQRO, or the state’s agent that is not a Medicaid MCO, PAHP, or PIHP may perform the mandatory and optional EQR-related activities to obtain data to support production of the annual EQR as described in 42 CFR §438.350.
- HSAG has been contracted by OHA as the EQRO for Oregon beginning July 2018 and is currently the largest EQRO in the nation, with EQRO contracts in 19 states.
For more information about the Oregon EQRO contract, contact:
Thomas "Tom" Miller, MA
Executive Director, Medicaid Services
Telephone: 602.341.4992
Email: TMiller@hsag.com
EQRO and EQR-Related Activities
HSAG performs the following EQR-related activities for Oregon’s Medicaid managed care program:
- Annual Technical Report
- Compliance Monitoring Reviews
- Encounter Data Validation
- Information Systems Capabilities Assessments
- Mental Health Parity Assessment
- Network Access Evaluations
- Validation of Performance Improvement Projects
- Validation of Performance Measures
- CMS—2023 CMS External Quality Review (EQR) Protocols, February 2023 | https://www.medicaid.gov/medicaid/quality-of-care/downloads/2023-eqr-protocols.pdf
- CMS-Quality of Care External Quality Review Overview | https://www.medicaid.gov/medicaid/quality-of-care/medicaid-managed-care/quality-of-care-external-quality-review/index.html
Oregon Medicaid EQRO
- Annual Technical Report
- Compliance Monitoring Reviews
- Encounter Data Validation
- Information Systems Capability Assessments
- Mental Health Parity
- Network Access Evaluations
- Validation of Performance Improvement Projects
- Validation of Performance Measures
- Contact Us
- Abbreviations and References
- Past Projects
