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ATTACHMENT E TRANSMITTAL FORM Medicaid External Quality Review and Other Activities in New York State RFP #20062Bidder Name: ___ Bidder Address: ___ ___ NYS Vendor ID Number: ___ DUNS #: ___ Type
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How to fill out medicaid external quality review

01
To fill out Medicaid external quality review, follow these steps:
02
Collect all necessary information: Make sure you have all the required documents and information related to the quality review.
03
Understand the guidelines: Read and understand the guidelines provided by the Medicaid program for completing the external quality review form.
04
Review the form: Familiarize yourself with the layout and sections of the form to ensure you understand what information needs to be provided in each section.
05
Complete the form accurately: Fill in the required information in each section of the form, ensuring accuracy and completeness.
06
Provide supporting documentation: Attach any relevant supporting documentation required by the Medicaid program along with the completed form.
07
Review and double-check: Before submitting the form, review it carefully to ensure all information is accurate and all necessary sections are completed.
08
Submit the form: Once you are confident that everything is accurate and complete, submit the form according to the specified submission method provided by the Medicaid program.
09
Follow-up: If there are any additional steps or actions required after submitting the form, make sure to follow the instructions provided by the Medicaid program.

Who needs medicaid external quality review?

01
Medicaid external quality review is needed by various entities involved in Medicaid programs. This may include:
02
- State Medicaid agencies: They need to conduct external quality review to assess the quality of care provided by managed care organizations (MCOs) participating in Medicaid.
03
- Managed care organizations (MCOs): They are subject to external quality review to evaluate their performance in delivering quality healthcare services to Medicaid beneficiaries.
04
- Medicaid beneficiaries: The external quality review helps ensure that Medicaid beneficiaries receive high-quality and satisfactory healthcare services from MCOs.
05
- Healthcare providers: The review process can provide valuable feedback to healthcare providers on their performance and areas for improvement within the Medicaid program.
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Medicaid external quality review is a process to assess and improve the quality of care and services provided to Medicaid beneficiaries.
Managed care organizations (MCOs) that contract with state Medicaid agencies are required to file medicaid external quality review.
Medicaid external quality review is typically filled out through a standardized template provided by the state Medicaid agency.
The purpose of medicaid external quality review is to ensure that Medicaid beneficiaries receive high-quality care and services.
Information such as performance measures, quality indicators, and outcomes of care must be reported on medicaid external quality review.
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