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