Healthcare, Prevention and Quality Review - Health Care Quality Digest

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Healthcare

Prevention

Quality Review

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

AUGUST 15, 2022

As highlighted in a 2020 Center for Medicaid and CHIP Services informational bulletin , Pennsylvania Medicaid has improved oral health access and quality of care by requiring MCOs to hire a dental director and execute performance improvement projects (PIPs) for pediatric preventative dental care. CMS 416 preventative services.

Medicaid

Medicaid Quality Review Prevention Quality Improvement

State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

APRIL 17, 2023

Notably, all of the measures in Table 1 are Healthcare Effectiveness Data and Information Set (HEDIS) measures or included in at least one of the CMS core measure sets. Further, there is great consistency among the 10 most frequently collected measures and the 10 measures that are most frequently used in payment (Table 1).

Medicaid

Medicaid Quality Assurance Quality Improvement Quality Review

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

State Approaches to Behavioral Health Measures in Medicaid Managed Care

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