Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Medi-Cal Managed Care Quality Improvement Reports​​ 

Rov qab mus rau Managed Care Monitoring​​ 

Raws li tsoomfwv txoj cai lij choj, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv California (DHCS) tau cog lus nrog lub koom haum saib xyuas kev noj qab haus huv sab nraud (EQRO) los ua kev tshuaj xyuas sab nraud thiab ntsuas kev saib xyuas muab rau cov neeg tau txais txiaj ntsig los ntawm Medi-Cal cov phiaj xwm kev saib xyuas kev noj qab haus huv (MCPs) hauv thaj tsam ntawm kev ua tau zoo, kev nkag mus tau, thiab sijhawm sijhawm.  EQRO nthuav tawm cov kev tshuaj xyuas zoo sab nraud, cov txiaj ntsig, thiab kev ntsuas hauv cov ntawv ceeb toom uas pab DHCS thiab Medi-Cal MCPs nkag siab qhov twg yuav tsom mus rau cov peev txheej txhawm rau txhim kho kev saib xyuas zoo.​​ 

Kev Tshawb Fawb Kev Txaus Siab rau Cov Tswv Cuab (CAHPS ® Kev Tshawb Fawb)​​  

Ib Tus Neeg Muab Kev Soj Ntsuam Cov Neeg Muab Kev Pab Kho Mob thiab Cov Neeg Muab Kev Pab Kho Mob thiab Cov Neeg Muab Kev Pab Kho Mob (CAHPS®) daim ntawv ntsuam xyuas txog kev sojntsuam aggregates los ntawm CAHPS® kev sojntsuam, uas nug Medi-Cal tswj cov kev pab cuam los ntsuam xyuas lawv tej kev pab kho mob uas lawv cov kws kho mob muab kev pab kho mob.​​   

Sib ntsib Cov Ntaub Ntawv Kev Tshawb Fawb Kev Tshawb Fawb​​   

Encounter Data Validation (EDV) Study Reports soj ntsuam qhov ua tiav thiab raug ntawm cov ntaub ntawv ntsib xa mus rau DHCS los ntawm MCPs.​​ 

Managed Care Accountability Sets/External Accountability Sets​​  

Cov Txheej Txheem Saib Xyuas Kev Tswj Xyuas Kev Ruaj Ntseg (MCAS) / Sab Nraud Kev Ua Txhaum Cai Lij Choj (EAS) yog cov txheej txheem ntsuas kev ua tau zoo uas DHCS xaiv rau kev tshaj tawm txhua xyoo los ntawm Medi-Cal MCPs.
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MY22​​ 

MY21​​ 

External Quality Reviews Technical Reports thiab Plan-Specific Evaluation Reports​​ 

EQRO txhua xyoo npaj ib daim ntawv tshaj tawm kev soj ntsuam zoo sab nraud uas txheeb xyuas thiab ntsuas cov ntaub ntawv sib sau ntawm cov kev pabcuam kev noj qab haus huv muab los ntawm Medi-Cal MCPs.  Raws li ib feem ntawm daim ntawv tshaj tawm kev tshuaj xyuas zoo sab nraud, EQRO npaj cov phiaj xwm kev ntsuas tshwj xeeb ntawm txhua tus MCP.

Nkag mus rau cov ntawv ceeb toom no ntawm Medi-Cal Managed Care External Quality Review Technical Reports nrog rau Daim Ntawv Qhia Txog Kev Ntsuas Tshwj Xeeb.
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Daim ntawv qhia txog kev tsis sib haum xeeb​​ 

Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv tsis sib xws txheeb xyuas thiab nkag siab txog qhov tsis sib xws ntawm kev noj qab haus huv cuam tshuam rau California's Medi-Cal cov tswvcuab saib xyuas thiab yog ua raws li cov kev tshawb fawb tsom mus ua txhua xyoo los ntawm EQRO. Cov ntawv ceeb toom txheeb xyuas Managed Care Accountability Set (MCAS) ntsuas cov txiaj ntsig tau tshaj tawm los ntawm Medi-Cal cov phiaj xwm tswj hwm kev saib xyuas (MCPs) rau ntau pawg neeg pej xeem.
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HEDIS ® Reports​​ 

Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab Cov Ntaub Ntawv Qhia Txog Kev Noj Qab Haus Huv (HEDIS ® ) Daim Ntawv Qhia Tag Nrho, tseem hu ua Kev Ntsuas Kev Ntsuas, muab cov kev ua tau zoo ntawm MCPs thaum lub xyoo tshaj tawm thiab kev siv cov ntaub ntawv xyoo dhau los. Daim ntawv tshaj tawm kuj sib piv cov phiaj xwm tshwj xeeb thiab cov nqi sib sau ua ke rau cov qauv ntsuas hauv tebchaws.​​ 

Daim Ntawv Qhia Txog Kev Tiv Thaiv​​ 

Daim Ntawv Qhia Txog Kev Tiv Thaiv Kev Pabcuam 2024 thiab Cov Lus Qhia Ua Haujlwm Pabcuam Kev txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv rau menyuam yaus hauv Medi-Cal Kev Tswj Xyuas Kev Khomob los ntawm kev noj qab haus huv rau pej xeem xwm txheej ceev
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Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2023 thiab Cov Lus Qhia Txog Kev Ua Haujlwm pab txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv zoo rau cov menyuam yaus hauv Medi-Cal Managed Care los ntawm kev noj qab haus huv rau pej xeem xwm txheej ceev.
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Daim Ntawv Qhia Txog Kev Pabcuam Tiv Thaiv Xyoo 2022 pab txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv zoo rau cov menyuam yaus hauv Medi-Cal Managed Care los ntawm kev kho mob xwm txheej ceev rau pej xeem.​​ 

Daim Ntawv Qhia Txog Kev Tiv Thaiv Kev Pabcuam Xyoo 2021 thiab Cov Txheej Txheem Ua HaujlwmPabcuam nrog txheeb xyuas thiab saib xyuas kev siv cov kev pabcuam tiv thaiv rau menyuam yaus hauv Medi-Cal Managed Care.
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Daim Ntawv Qhia Txog Kev Tiv Thaiv Kev Pabcuam Xyoo 2020 thiab Daim Ntawv Ntxiv Ntxiv Ntsuam Xyuas Kev Pabcuam Kev Tiv Thaiv los ntawm cov neeg saib xyuas menyuam yaus Medi-Cal.
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Hnub hloov tshiab kawg: 8/27/2025 12:58 PM​​