External Quality Review Organization definition

External Quality Review Organization means the independent contractor assigned by DMAS to handle quality reviews and to conduct final review of MCHIP adverse actions for FAMIS.
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External Quality Review Organization and “EQRO” each means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality review, other EQR-related activities as set forth in 42 CFR 438.358 or both.
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External Quality Review Organization or “EQRO” means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality review, other EQR-related activities as set forth in 42 CFR 438.358 or both.
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Examples of External Quality Review Organization in a sentence

  • Annually EQRO QR-10 QR-10 Performance Improvement Projects Performance Improvement Project Reports (Format for submission determined by and communicated by External Quality Review Organization).

  • Annually Inter- change QR-09 QR-09 Validation of Performance Measures Performance Measure Data (Format for submission determined and communicated by External Quality Review Organization).

  • CHCS appreciates the generous time and knowledge of the following state, health plan, and External Quality Review Organization reviewers: Dr. Janice Carson, Georgia Department of Community Health; Kim Elliott, Arizona Health Care Cost Containment System; Dr. Bonnie Stanley, New Jersey Division of Medical Assistance and Health Services; Kristin LaRoche, DentaQuest; and Gretchen Thompson, Health Services Advisory Group.

  • The External Quality Review Organization (EQRO) oversees the health plans for the Quest Integration (QI) and Community Care Services (CCS) programs.

  • Describe its proposed processes for supporting the External Quality Review Organization (EQRO), and any associated subcontractors, contracted by EOHHS to conduct External Quality Review (EQR) Activities, in accordance with 42 C.F.R. Part 438 Subpart E, and as described in the Contract.


More Definitions of External Quality Review Organization

External Quality Review Organization means the independent contractor assigned by
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External Quality Review Organization. An organization that meets the competence and independence requirements set forth in § 438.354, and performs external quality review, other EQR-related activities as set forth in § 438.358, or both.
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External Quality Review Organization that has a contract with the Department to perform federally required oversight and monitoring of the quality assurance component of managed care. Quality oversight and monitoring shall include, but is not limited to, annual onsite review, attendance at one of the quality assurance meetings, and ongoing monitoring of quality outcomes and timeliness of, and access to, the Covered Services.
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External Quality Review Organization means an organization that meets the competence and independence requirements under Code of Federal Regulations, part 42, section 438.354, and performs external quality review and may perform other external quality review-related activities as required under Code of Federal Regulations, part 42, section 438.358.
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External Quality Review Organization or “EQRO” has the meaning as defined in 42 C.F.R. § 438.320.
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External Quality Review Organization means an organization that performs an external quality review of a managed care organization in accordance with 42 [Code of Federal Regulations] Section 438.350.
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External Quality Review Organization means an 1-42 organization that performs an external quality review of a managed 1-43 care organization in accordance with 42 C.F.R. Section 438.350.
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