Medi-Cal Daim Ntawv Qhia Txog Kev Txhim Kho Kev Kho Mob Zoo
External Quality Review Technical Reports with Plan-Specific Evaluation Reports
Lub Koom Haum Saib Xyuas Kev Zoo Sab Nraud (EQRO) npaj ib daim ntawv qhia txog kev saib xyuas kev zoo sab nraud (EQR) txhua xyoo uas tshuaj xyuas thiab ntsuas cov ntaub ntawv sib sau ua ke ntawm cov kev pabcuam kev kho mob uas muab los ntawm Medi-Cal Managed Care cov phiaj xwm kho mob (MCPs). Ua ib feem ntawm daim ntawv qhia txog kev siv tshuab ntawm EQR, EQRO npaj daim ntawv qhia txog kev ntsuam xyuas tshwj xeeb ntawm txhua daim phiaj xwm. Raws li Title 42 Code of Federal Regulations §§ 438.362(c) thiab 438.364(a)(7), qhov no yog daim ntawv ceeb toom tias txhua Txoj Kev Npaj yuav tsum tau tshaj tawm EQR, tsis muaj txoj kev npaj twg zam.
Lub rooj hauv qab no yog koj qhov chaw tseem ceeb los nrhiav tsib xyoos dhau los ntawm Kev Tswj Xyuas Kev Kho Mob thiab Kev Ua Haujlwm Zoo ntawm Kev Kho Hniav EQR Technical Reports. Cov ntawv qhia tshiab uas tau tso tawm yuav raug tshaj tawm thaum Lub Plaub Hlis Ntuj hnub tim 30 ntawm txhua xyoo.
| Hom Ntawv Qhia | Xyoo Nyiaj Txiag | Cov ntaub ntawv npe | URL |
|---|---|---|---|
| ATR | TSO-2023-24 | 2023-24-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Exec-Sum-of-Findings-F1.pdf |
| Ntim 1 | TSO-2023-24 | 2023-24-Volume-1-Main-Report | https://www.dhcs.ca.gov/file/2023-24-volume-1-main-report/ |
| Ntim 2 | TSO-2023-24 | 2023-24-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol2-F1.pdf |
| Volume 3 | TSO-2023-24 | 2023-24-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol3-F1.xlsx |
| Ntim 4 | TSO-2023-24 | 2023-24-Volume-4-Statewide-MCP-Specific-PM-Results-Race-Ethnicity | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Techinical-Report-Vol4-F1.xlsx |
| Volume 5 | TSO-2023-24 | 2023-24-Volume-5-Medi-Cal-Managed-Care-Compliance-Review-Results-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Vol5-F1.xlsx |
| Volume 6 | TSO-2023-24 | 2023-24-Volume-6-Validation-of-Network-Adequacy | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol6-NAV-F2.pdf |
| Volume 7 | TSO-2023-24 | 2023-24-Volume-7-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol7-AAS-F1.pdf |
| Volume 8 | TSO-2023-24 | 2023-24-Volume-8-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Vol8-SNF-ICF-F2.pdf |
| Volume 9 | TSO-2023-24 | 2023-24-Volume-9-Timely-Access-Study-Results | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2023-24-Medi-Cal-Managed-Care-Physical-Health-External-Quality-Review-Technical-Report-Vol9-F1.xlsx |
| ATR | TSO-2023-24 | 2023-24-Medi-Cal-Dental-Managed-Care-EQRO-ATR-Volume-1-of-2 | https://www.dhcs.ca.gov/services/Documents/MDSD/Dental-Managed-Care-Technical-Report-23-24-Volume-1.pdf |
| ATR | TSO-2023-24 | 2023-24-Medi-Cal-Dental-Managed-Care-EQRO-ATR-Volume-2-of-2 | https://www.dhcs.ca.gov/services/Documents/MDSD/Dental-Managed-Care-Technical-Report-23-24-Volume-2.pdf |
| ATR | Xyoo-2022-23 | 2022-23-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-External-Quality-Review-Technical-Report-Executive-Summary-of-Findings.pdf |
| Ntim 1 | Xyoo-2022-23 | 2022-23-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-1.pdf |
| Ntim 2 | Xyoo-2022-23 | 2022-23-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-2.pdf |
| Volume 3 | Xyoo-2022-23 | 2022-23-Volume-3-MCP-Compliance-Review-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-3.xlsx |
| Ntim 4 | Xyoo-2022-23 | 2022-23-Volume-4-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-4.xlsx |
| Volume 5 | Xyoo-2022-23 | 2022-23-Volume-5-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-5.pdf |
| Volume 6 | Xyoo-2022-23 | 2022-23-Volume-6-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/Medi-Cal-Managed-Care-Technical-Report-Volume-6.pdf |
| ATR | Xyoo-2022-23 | 2022-23-Medi-Cal-Kev-Tshuaj-Tswj-Kev-Kho-EQRO-ATR | https://www.dhcs.ca.gov/services/Documents/CA2022-23-Dental-Managed-Care-External-Quality-Review-Technical-Report.pdf |
| ATR | Xyoo-2021-22 | 2021-22-EQR-Technical-Report-Executive-Summary | https://www.dhcs.ca.gov/dataandstats/reports/Documents/MC-EQR-Executive-Summary.pdf |
| Ntim 1 | Xyoo-2021-22 | 2021-22-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol1-F1.pdf |
| Ntim 2 | Xyoo-2021-22 | 2021-22-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol2-F1.pdf |
| Volume 3 | Xyoo-2021-22 | 2021-22-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol3-F1.xlsx |
| Ntim 4 | Xyoo-2021-22 | 2021-22-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol4-F1.pdf |
| Volume 5 | Xyoo-2021-22 | 2021-22-Volume-5-SNF-ICF-Experience-and-Distance-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-MCMC-EQR-TR-Vol5-F1.pdf |
| ATR | Xyoo-2021-22 | 2021-22-Medi-Cal-Kev-Kho-Dental-Kev-Tswj-Kev-Kho-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2021-22-DentalMC-EQR-TR-F1.pdf |
| Ntim 1 | Xyoo-2020-21 | 2020-21-Volume-1-Main-Report | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol1.pdf |
| Ntim 2 | Xyoo-2020-21 | 2020-21-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol2.pdf |
| Volume 3 | Xyoo-2020-21 | 2020-21-Volume-3-MCP-PM-Comparison | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-EQRTechRpt-Vol3.xlsx |
| Ntim 4 | Xyoo-2020-21 | 2020-21-Volume-4-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/dataandstats/reports/Documents/EQRTechRpt-Vol4.pdf |
| ATR | Xyoo-2020-21 | 2020-21-Medi-Cal-Kev-Tshuaj-Tswj-Kev-Kho-EQRO-ATR | https://www.dhcs.ca.gov/dataandstats/reports/Documents/2020-21-DMC-EQR-Technical-Report.pdf |
| Ntim 1 | Xyoo-2019-20 | 2019-20-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol1-F1.pdf |
| Ntim 2 | Xyoo-2019-20 | 2019-20-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol2-F1.pdf |
| Volume 3 | Xyoo-2019-20 | 2019-20-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/MCQMD/CA2019-20-EQR-Technical-Report-Vol3-F2.pdf |
| Ntim 1 | FY-2018-19 | 2018-19-Volume-1-Main-Report | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol1.pdf |
| Ntim 2 | FY-2018-19 | 2018-19-Volume-2-Plan-Specific-Evaluation-Reports | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol2.pdf |
| Volume 3 | FY-2018-19 | 2018-19-Volume-3-Alternative-Access-Standards-Reporting | https://www.dhcs.ca.gov/Documents/CA2018-19-EQR-Technical-Report-Vol3.pdf |
| Cov Lus Qhia Tseem Ceeb ntawm MCMC PH | Xyoo-2024-25 | Cov Lus Qhia Tseem Ceeb ntawm Medi-Cal Managed Care PH xyoo 2024-25 | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-ExecSum-F1.pdf |
| PH EQR TR Vol 1 | Xyoo-2024-25 | MCMC PH EQR TR Ntawv 1 - Daim Ntawv Qhia Tseem Ceeb | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol1-F1.pdf |
| PH EQR TR Vol 2 | Xyoo-2024-25 | MCMC PH EQR TR Ntawv 2 - Cov Ntaub Ntawv Tshwj Xeeb ntawm Txoj Kev Npaj | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol2-F1.pdf |
| PH EQR TR Vol 3 | Xyoo-2024-25 | MCMC PH EQR TR Ntim 3 - Cov Txiaj Ntsig Kev Ntsuas Kev Ua Haujlwm ntawm MCP | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol3-F2.xlsx |
| PH EQR TR Vol 4 | Xyoo-2024-25 | MCMC PH EQR TR Ntim 4 - Cov Txiaj Ntsig Kev Ntsuas Kev Ua Haujlwm ntawm MCP los ntawm Haiv Neeg thiab Pawg Neeg Haiv Neeg | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol4-F1.xlsx |
| PH EQR TR Vol 5 | Xyoo-2024-25 | MCMC PH EQR TR Ntim 5 - Kev Txheeb Xyuas Qhov Txaus ntawm Network | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol5-NAV-F1.pdf |
| PH EQR TR Vol 6 | Xyoo-2024-25 | MCMC PH EQR TR Ntawv 6 - Cov Qauv Nkag Mus Rau Lwm Txoj Kev | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol6-AAS-F1.pdf |
| PH EQR TR Vol 7 | Xyoo-2024-25 | MCMC PH EQR TR Ntawv 7 - SNF/ICF Kev Paub thiab Kev Tshaj Tawm Txog Qhov Deb | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol7-SNF-ICF-F1.pdf |
| PH EQR TR Vol 8 | Xyoo-2024-25 | MCMC PH EQR TR Ntawv 8 - Cov Txiaj Ntsig Kev Kawm Txog Kev Nkag Mus Rau Lub Sijhawm | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-MCMC-PH-EQR-TR-Vol8-F1.xlsx |
| Dental EQR TR Vol 1 | Xyoo-2024-25 | Kev Kho Hniav EQR TR Ntim 1 - Daim Ntawv Qhia Tseem Ceeb | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol1-F2.pdf |
| Dental EQR TR Vol 2 | Xyoo-2024-25 | Kev Ntsuas EQR TR Kho Hniav Ntim 2 - Kev Pom Zoo ntawm Kev Txaus ntawm Network | https://www.dhcs.ca.gov/dataandstats/reports/Documents/CA2024-25-DentalMC-EQR-TR-Vol2-NAV-F2.pdf |