EQROExternal Quality Review Organization
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172) AHCA has dictated the MCO's responsibility regarding reporting to the EQRO in the contracts, but the State is ultimately responsible for oversight and monitoring.
Tennessee uses its annual EQRO reviews to give plans feedback on their grievance systems.
Agency Agency and EQRO Encounter data Yes Yes plan prepared?
In the worst cases, States placed staff at the plans to help overcome problems or had the EQRO work closely with the plan.
All have contracted with an EQRO to conduct special studies; some have used the EQRO for additional activities (which are described in this and later sections).
Table 4 Quality Assurance Program Monitoring, by State Activity Hawaii Oklahoma Who monitors quality Demonstration EQRO assurance programs?