Skip Ribbon Commands
Skip to main content

Medi-Cal Managed Care - Quality Improvement & Performance Measurement Reports

In accordance with federal requirements, MMCD contracts with an External Quality Review Organization (EQRO) to evaluate the care provided to beneficiaries by Medi-Cal managed care plans in the areas of quality, access and timeliness.  The results of these external quality review activities are presented in various quarterly and annual reports.  These reports assess plan results in required quality improvement and performance measurement activities and help both MMCD and the plans understand where resources should be focused to further improve the quality of care.

Annual Technical Reports

Encounter Data Validation Study Reports

 2013-2014 | 2012-2013 |       

External Accountability Sets  

    • The External Accountability Set (EAS) is a set of performances measures that DHCS selects for annual reporting by Medi-Cal managed care health plans.  The EAS is listed by the measures' reporting year (RY), which reflects the prior year's measurement data (MY), e.g. External Accountability Set Reporting Year 2015 contains measures that will be reported in 2015 based on 2014 measure data.

 

Member Satisfaction Survey (CAHPS) Reports

Performance Measurement Reports     

    • The date of each HEDIS Performance Measurement Report refers to the year the measures were reported, which reflects the prior year's measurement data (e.g. HEDIS 2015 reports on 2014 measure data that was reported in 2015).      

 

Quality Improvement Project (QIP) Reports

Quality Strategy Reports   

Plan-Specific Performance Evaluations   

2013-2014 | 2012-20132011-20122010 - 2011 | 2009 - 2010  |  2008 - 2009  |  2007 - 2008

 

Annual Technical Reports    

                   

Encounter Data Validation Study Reports     

2013 - 2014 Encounter Data Validation Study Reports

 

2012 - 2013 Encounter Data Validation Study Reports

 

External Accountability Sets    

Member Satisfaction Survey (CAHPS) Reports

 

Performance Measurement Reports      

Quality Improvement Project (QIP) Reports

QIPs Guide and Status Reports

Statewide Collaborative QIP Reports

Quality Strategy Reports

 

Plan-Specific Performance Evaluations 

2013 - 2014 Plan-Specific Performance Evaluations    

 

Return to Top

2012 - 2013 Plan-Specific Performance Evaluations

 

Return to Top

2011 - 2012 Plan-Specific Performance Evaluations

 

Return to Top

2010 - 2011 Plan-Specific Performance Evaluations

 

Return to Top

2009 - 2010 Plan-Specific Performance Evaluations   

2008 - 2009 Plan-Specific Performance Evaluations

 

Return to Top

     

2007 - 2008 Plan-Specific Performance Evaluations

Last modified on: 12/2/2015 4:22 PM