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1Behavioral Health Concepts, Inc. 5901 Christie Avenue, Suite 502 Maryville, CA 94608info@bhceqro.com www.caleqro.com 8553853776FY 202021 MEDICAL SPECIALTY MENTAL HEALTH EXTERNAL QUALITY REVIEW NEVADA
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01
Gather all necessary documentation related to the quality review.
02
Review the guidelines provided by the California Department of Health Care Services.
03
Complete the designated forms accurately, ensuring all information is filled in correctly.
04
Compile supporting evidence, such as performance data and compliance records.
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Submit the completed forms and documentation by the deadline specified.
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Prepare for potential follow-up questions or requests for additional information from reviewers.

Who needs california external quality review?

01
Healthcare providers participating in California Medicaid programs.
02
Managed care organizations operating in California.
03
Quality assurance teams conducting evaluations of healthcare services.
04
State regulatory agencies overseeing healthcare quality metrics.
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California external quality review is a systematic evaluation process designed to assess the quality of services provided by Medi-Cal managed care plans, ensuring compliance with state and federal standards.
Medi-Cal managed care plans and providers operating under California's Medicaid program are required to participate in and file their findings for the external quality review.
To fill out the California external quality review, entities must gather relevant data, complete the designated reporting forms based on the guidelines provided by the state, and submit them to the appropriate regulatory body by the deadline.
The purpose of the California external quality review is to evaluate the quality of care provided to Medi-Cal beneficiaries, improve service delivery, and ensure accountability within the state's healthcare system.
Reports must include information on service quality metrics, patient satisfaction, access to care, and performance measures specific to the services provided under Medi-Cal managed care.
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