Open work item in PB work tray
Decision Package
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