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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. Colorado does not currently exempt Managed Care Entities (MCEs) from External Quality Review (EQR).