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The External Quality Review (EQR) Annual Process is a federal requirement for Medi-Cal Managed Care Plans. Counties participating in the Drug Medi-Cal Organized Delivery System (DMC-ODS) are considered Prepaid Inpatient Health Plans (PIHP) and therefore subject to applicable Medi-Cal Managed Care laws and regulations. Behavioral Health Concepts (BHC) is the organization providing the EQR service under contract with DHCS. The focus for the EQR process is to ensure beneficiary timely access to care, quality of care, and improved health outcomes. These goals are met with four core federal protocols reflected in the materials and resources below:​​