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NE EURO ANNUAL COMPLIANCE REVIEW May 2019 Period of Review: April 1, 2018, March 31, 2019, MCO: UnitedHealthcare Community Plan Final Findings Care Management State Contract Requirements Federal Regulations

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Who needs medicaid external quality review?

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Medicaid external quality review is needed by healthcare providers and organizations participating in the Medicaid program. This includes hospitals, clinics, nursing homes, home health agencies, managed care organizations, and other healthcare service providers.

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What is medicaid external quality review?

Medicaid external quality review is a process conducted by external reviewers to assess the performance of Medicaid managed care plans.

Who is required to file medicaid external quality review?

Medicaid managed care plans are required to file medicaid external quality review.

How to fill out medicaid external quality review?

Medicaid managed care plans must submit relevant data and documentation for external reviewers to assess their performance.

What is the purpose of medicaid external quality review?

The purpose of medicaid external quality review is to ensure that Medicaid managed care plans are providing high-quality care to their members.

What information must be reported on medicaid external quality review?

Medicaid managed care plans must report data on clinical quality measures, member satisfaction, and other performance indicators.

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