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Behavioral Health Concepts, Inc.info@bhceqro.com5901 Christie Avenue, Suite 502www.caleqro.comEmeryville, CA 946088553853776FY 1718 MEDICAL SPECIALTY MENTAL HEALTH EXTERNAL QUALITY REVIEW GLENN MHP
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Gather all necessary patient information, including personal details and medical history.
02
Complete the 'Patient Demographics' section with accurate information.
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Provide details about the patient's current condition and treatment plans in the 'Clinical Information' section.
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Fill out the 'Services Requested' section with specific specialty services needed.
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Review and ensure all information is accurately filled and matches supporting documents.
06
Submit the completed EQRO form through the appropriate Med-Cal submission process.

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Healthcare providers requesting specialty services for patients covered under Medi-Cal.
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Patients who are Medi-Cal beneficiaries needing specialized care.
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Administrative staff in healthcare settings managing Medi-Cal documentation.
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EQRO (External Quality Review Organization) - Medi-Cal specialty refers to the program that evaluates the quality of care provided to Medi-Cal beneficiaries by managed care organizations to ensure compliance with Medicaid standards.
Managed care organizations that provide Medi-Cal services are required to file the EQRO report to demonstrate adherence to quality care standards.
To fill out the EQRO - Medi-Cal specialty report, organizations must complete designated forms and provide detailed information regarding their quality assessment and performance measures, following the guidelines set by the state.
The purpose of EQRO - Medi-Cal specialty is to assess the quality of care provided to Medi-Cal beneficiaries, ensure compliance with federal and state regulations, and promote continuous improvement in healthcare services.
Organizations must report data on various quality measures, performance indicators, findings from reviews, corrective actions taken, and assessments of service delivery.
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