Department of Medical Assistance Services (602)
Request Title | Fund federally required independent External Quality Review Organization (EQRO) activities |
Biennium | 2018-2020 |
Budget Round | Initial Bill |
Category | Mandates |
Region | Multiple Regions |
Description
Funds a contract with an independent External Quality Review Organization (EQRO) to conduct an external quality review of the department's contracted managed care organizations (MCO). EQRO activities include the analysis and evaluation of aggregated information on quality, timeliness, and access to the health care services that MCOs furnish to Medicaid recipients. This package also supports an audit of each MCO's network to ensure enrollees have adequate access to services. This funding ensures that the Commonwealth’s managed care programs (Commonwealth Coordinated Care Plus and Medallion 4.0) are fully compliant with final federal regulations. |
Funding Summary
Object Type | FY 2018 | FY 2019 | |
General Fund Dollars | $301,755 | $570,449 | |
Nongeneral Fund Dollars | $905,266 | $1,711,348 | |
General Fund Positions | 0.00 | 0.00 | |
Nongeneral Positions | 0.00 | 0.00 | |
General Fund Transfers | $0 | $0 | |
General Fund Revenue | $0 | $0 | |
Layoffs | $0 | $0 | |
Additions to Balance | $0 | $0 |
Funding Details
By Program | Program Code | Program Title | FY 2018 | FY 2019 |
499 | Administrative And Support Services | $1,207,021 | $2,281,797 | |
By Fund | Fund Code | Fund Title | FY 2018 | FY 2019 |
01000 | General Fund | $301,755 | $570,449 | |
10000 | Federal Trust | $905,266 | $1,711,348 |
Authorized Position Details
By Program | Program Code | Program Title | FY 2018 | FY 2019 |
p3_opview - Official Enacted Budget View Operating Bullet Details - 06-03-2025 23:45:44