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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 Performace 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