Acumentra Health maintains this page to support ongoing quality improvement and reporting activities for Washington Medicaid managed care plans and providers.
How to contact EQR staff
Lead staff list for MCOs (12/12/12)
Lead staff list for RSNs (3/5/13)
Washington Medicaid organization meeting and training materials
Reports and publications
Washington EQR Update (newsletter)
Annual Report looks at managed care in transition; highlights of April 2014 Medicaid Quality Management meeting; update on key legislation involving health care purchasing, improvements to the adult behavioral health system, and new outcome-based accountability measures.
Apple Health ripens in 2014, bringing big changes for the Washington Medicaid program; outline of 2014 EQR activities for Washington RSNs and MCOs; highlights of 2013 Performance Measure Comparative Analysis Report (HEDIS report)
Highlights of April 2013 Medicaid Quality Management Meeting presentations; 2013 encounter data validation activities for Washington RSNs; what’s new with the HEDIS audit and Performance Measure Comparative Analysis Report.
Highlights of 2012 External Quality Review Annual Report for Washington Medicaid program; preview of Medicaid Quality Management meeting presentations and training topics
Highlights of 2012 Performance Measure Comparative Analysis Report (HEDIS® Report) results; Medicaid Quality Management meeting presentations on physical and mental health topics; disparities in immunization rates for children of Russian-speaking families; changes in mental health grievance system
2011 EQR Annual Report highlights and program improvement recommendations for mental and physical health care; new MCO roster for 2012–2013; preview of spring Medicaid Quality Management meeting.
Highlights of 2011 Performance Measure Comparative Analysis Report (HEDIS Report) results for Healthy Options program; Medicaid Quality Management meeting presentations; PIP training for RSNs; change in encounter data validation procedures for RSNs.
2010 EQR Annual Report highlights and program improvement recommendations for mental and physical health care; 2010 HEDIS results for childhood immunizations, diabetes care indicators, and the Washington Medicaid Integration Partnership.
As part of our external quality review (EQR) contracts with the Medicaid agency of Washington, Acumentra Health produces an Annual EQR Technical Report. These reports fulfill federal requirements for independent review, evaluating the performance of the state’s contracted managed care organizations (MCOs) in meeting standards for access to care and the timeliness and quality of care. We also produce an annual analysis of the Washington MCOs’ performance on standard HEDIS measures.
2013 EQR Annual Report
2013 Performance Measure Comparative Analysis (HEDIS) Report
Reports on Washington HCA website
Washington State Collaborative
Washington State Collaborative Final Report (prepared by Child Health Institute, University of Washington, and NVB Consulting; June 2009)
HRSA Secured Folders (password required; please disregard certificate warning)