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Requirements as outlined under Code of Federal Regulation 42 CFR 438.200 - 204 delineate State responsibilities for adoption of a Quality Strategy. 42 CFR 438.202(a) states that States will have a written strategy for assessing and improving the quality of managed care services offered by all Managed Care Organizations (MCOs) and Prepaid Inpatient Health Plans (PIHPs).
2020 RAE 411 Audits: Encounter Data Validation
2018 BHO 411 Audits: Encounter Data Validation
Starting in 2015 some online reports include an Accessible format that lists just the Executive Summary. Non-Accessible reports including all content can be requested by contacting the Department’s Quality and Health Improvement Unit.