Partnering with External Quality Improvement Organizations to Enhance Preventive and Developmental Care for Low-Income Children

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All state Medicaid programs that employ risk-based managed care plans must contract with an outside entity to monitor the quality of health care provided by the plans. These entities, called external quality improvement organizations (EQIOs), play an increasingly important role in assessing and improving the quality of care provided to low-income individuals. This project will identify ways that state Medicaid agencies can work effectively with EQIOs to enhance the quality of preventive and developmental services provided to young Medicaid-enrolled children. Recent EQIO reports to state Medicaid agencies will be analyzed to measure the extent and quality of EQIO work in this area, while information obtained from interviews with Medicaid and EQIO staff in five states will locate exemplary EQIO contributions to improving preventive and developmental care.

Grant Details

Grantee Organization:
Mathematica Policy Research, Inc.
Principal Investigator:
Henry Ireys, Ph.D.
Award Amount:
$202,133.00
Approval Date:
July 8, 2003

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