Article Publication Date:
This guidance document is intended to provide guidance to states on how to apply the revised protocols for External Quality Review (EQR) of Medicaid managed care organizations, released in 2012, to managed long term services and supports (MLTSS) programs. Although the protocols already apply to MLTSS generally, this document offers specific suggestions to make their application to long term services and supports (LTSS) clearer and provides suggestions, examples and illustrations.
Populations:Aging/Older Adults; Children and Families; Developmental/Intellectual Disabilities; Dual Eligibles; Physical Disabilities; Psychiatric Disabilities/Mental Illness
Programs/Initiatives:Medicaid Managed Long Term Care
External Quality Review; EQR; MLTSS; MCO; Enrollee Rights and Protection; Grievance;
Short URL: http://www.advancingstates.org/node/60531