Medicaid Quality Reporting
Reporting includes information validated by Georgia’s External Quality Review Organization (EQRO). These validations are required by federal regulations.
Quality Strategic Plan
- 2016 Quality Strategic Plan - Posted 06/21/16
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surveys
SFY2017
- Georgia Medicaid Program Program Child Survey June 2017 - Posted 7/28/17
- Georgia Medicaid Program Adult Survey June 2017 - Posted 7/28/17
- Georgia Medicaid Program Child Medicaid Summary Report June 2017 - Posted 7/28/17
- Georgia Medicaid Program Adult Summary Report June 2017 - Posted 7/28/17
- PeachCare for Kids Program Child Medicaid Summary Report June 2017 - Posted 7/28/17
- PeachCare for Kids Program Child Survey June 2017 - Posted 7/28/17
SFY2016
- Georgia Medicaid Program Adult Survey Report June 2016 - Posted 07/8/16
- Georgia Medicaid Program Adult Summary Report June 2016 - Posted 07/8/16
- Georgia Medicaid Program Child Survey Report June 2016 - Posted 07/8/16
- Georgia Medicaid Program Child Summary Report June 2016 - Posted 07/8/16
- PeachCare for Kids Program Child Survey Report June 2016 - Posted 07/8/16
- PeachCare for Kids Program Child Summary Report June 2016 - Posted 07/8/16
SFY2015
- Georgia Medicaid Program Adult Summary Report July 2015 - Posted 07/28/15
- Georgia Medicaid Program Adult Survey Report July 2015 - Posted 07/28/15
- Peachcare for Kids Program Child Survey Report July 2015 - Posted 07/28/15
- Georgia Medicaid Program Child Summary Report July 2015 - Posted 07/28/15
- Georgia Medicaid Program Child Survey July 2015 -Posted 07/28/15
- PeachCare for Kids Program Child Summary Report July 2015 - Posted 07/28/15
EQRO Validated Performance Improvement Projects
CY2016 Data
- AMERIGROUP 2016-17 CMO PIP Validation Report - Posted 6/29/17
- AMERIGROUP 2016-17 Georgia Families 360 CMO PIP Validation Report - Posted 6/29/17
- Peach State Health Plan 2016-17 CMO PIP Validation Report - Posted 6/29/17
- WellCare 2016-17 CMO PIP Validation Report - Posted 6/29/17
CY2015 Data
- AMERIGROUP 2015-16 CMO PIP Validation Report - Posted 09/26/16
- AMERIGROUP Georgia Families 360 2015-16 CMO PIP Validation Report - Posted 09/26/16
- Peach State 2015-16 CMO PIP Validation Report - Posted 09/26/16
- WellCare 2015-16 CMO PIP Validation Report - Posted 09/26/16
CY2014 Data
- AMERIGROUP 2015 CMO PIP Val Report Final 11.19.14 - Posted 04/09/15
- WellCare 2015 CMO PIP Val Report Final 11/19/14 - Posted 04/09/15
- PeachState 2015 CMO PIP Val Report Final 11/19/14 - Posted 04/09/15
CY2013 Data
- AMERIGROUP Community Care PIP Validation Report FY14 - Posted 12/02/13
- Peach State Health Plan PIP Validation Report FY14 - Posted 12/02/13
- WellCare of Georgia PIP Validation Report FY14 - Posted 12/02/13
EQRO Compliance Reports
SFY2016
- Amerigroup 360 GA2016-17 Compliance Standards Report - Posted 7/28/17
- Amerigroup GA2016-17 Compliance Standards Report - Posted 7/28/17
- Peach State Health Plan GA 2016-17 Compliance Standards Report - Posted 7/28/17
- WellCare GA2016-17 Compliance Standards Report - Posted 7/28/17
SFY2015 Data
- Amerigroup 360 GA2015-16 Compliance Standards Report - Posted 03/17/16
- Amerigroup GA2015-16 Compliance Standards Report - Posted 03/17/16
- Peach State GA2015-16 Compliance Standards Report - Posted 03/17/16
- WellCare GA2015-16 Compliance Standards Report - Posted 03/17/16
SFY2014
- AMERIGROUP 2014-15 EQR Comp Standards Report F2 - Posted 04/09/15
- WellCare 2014-15 EQR Comp Standards Report F1 - Posted 04/09/15
- PeachState 2014-15 EQR Comp Standards Report F1 - Posted 04/09/15
EQRO Validated Performance Measures
CY 2016 Data
- 2017 Validation of Performance Measures - Posted 8/28/17
- 2017 Amerigroup Community Care Validation of Performance Measures - Posted 8/28/17
- 2017 Georgia Families 360 Amerigroup Community Care Validation of Performance Measures - Posted 8/28/17
- 2017 WellCare of Georgia Validation of Performance Measures - Posted 8/28/17
- 2017 Peach State Health Plan Validation of Performance Measures - Posted 8/28/17
CY 2015 Data
- Georgia Medicaid Performance Measures for CY12 through CY15 - Posted 09/26/16
- Georgia Medicaid Validated Performance Measures Report CY15 for GF, FFS, ALL and GF 360 - Posted 09/26/16
- Georgia Families Performance Measures for CY12 through CY15 - Posted 09/26/16
- AMERIGROUP Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16
- AMERIGROUP GF360 Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16
- Peach State Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16
- WellCare Georgia 2016 CMO Validation of Performance Measures - Posted 09/26/16
CY 2014 Data
- Ga Medicaid Performance Measures for CY11 through CY14 - Posted 10/15/15
- Ga Medicaid Performance Measures Reports CY14 Validated Performance Measures for GF, FFS, ALL and GF 360 - Posted 10/15/15
- Georgia Families Performance Measures - August 2015 - Posted 08/20/15
- AMERIGROUP CMO Validation of Performance Measures - August 2015 - Posted 08/20/15
- AMERIGROUP GF360 Ga2014-2015 CMO PMV - Posted 08/20/15
- Peach State Ga 2014-2015 CMO PMV - Posted 08/20/15
- WellCare of Ga 2014-2015 CMO PMV - Posted 08/20/15
CY 2013 Data
- Georgia Families Performance Measures -- October 2014 -- Updated 10/24/14
- WellCare of Georgia Inc. Validation of Performance Measures - September 2014 -- Posted 10/02/14
- Peach State Health Plan Validation of Performance Measures - September 2014 -- Posted 10/02/14
- Amerigroup Community Care Validation of Performance Measures - September 2014 -- Posted 10/02/14
- Georgia Medicaid Performance Measures Grid CY11 thru CY213 - Posted 04/09/15
- Validation of Performance Measures for Reporting Period CY2013 for GF, FFS, MAO and CCSP - Posted 04/10/15
External Quality Review Organization (EQRO)
- Annual Report - April 2021 - Posed 4/21/21
- Annual Report - April 2020 - Posted 7/13/20
- Annual Report - April 2019 - Posted 4/30/19
- Annual Report - April 2018 - Posted 8/28/18
- Annual Report - April 2017 - Posted 4/21/17
- Annual Report – April 2016 - Posted 04/27/16
- Annual Report - April 2015 - Posted 07/09/15
- Annual Report – January 2014 - Posted 01/23/14
- Annual Report – December 2013 - Posted 12/27/13