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Medicaid External Quality Review

Health Services Advisory Group (HSAG) is the largest External Quality Review Organization (EQRO) in the nation and provides quality review services for states that operate Medicaid managed care programs and fee-for-service programs. As an EQRO, HSAG evaluates managed care organizations (MCOs),...

Oregon Medicaid EQRO

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...

Quality Assurance and Performance Improvement (QAPI) Playbook for Measurable Improvement

Webinar Recording Webinar PowerPoint Join HSAG for this educational webinar and learn how to turn QAPI from a complex requirement into a practical, results-driven approach to improving resident care. Our internal subject matter experts will share actionable strategies, tools, and lessons learned...

Governance

HSAG has a governing board that oversees policy and direction for our Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO). Our Board of Directors has been assembled in accordance with Centers for Medicare & Medicaid Services (CMS) regulations and...

Network Access Evaluations

Federal and state regulations governing Medicaid services require that each Coordinated Care Organization (CCO) maintains a network of appropriate healthcare providers to ensure adequate access to all services covered under the Medicaid contract. Each CCO must submit documentation to the state...

Patient Safety