External Quality Review Organization and “EQRO” each means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality review, other EQR-related activities as set forth in 42 CFR 438.358 or both.
External Quality Review Organization means the independent contractor assigned by DMAS to handle quality reviews and to conduct final review of MCHIP adverse actions for FAMIS.
External Quality Review Organization means the independent contractor assigned by
Examples of External Quality Review Organization in a sentence
Some of these Agents may include but are not limited to the (1) Utilization Management Contractor(s), who will perform designated Prior Authorization, data analyses, and related functions, (2) the Fiscal Agent that will process Contractor Member Encounter Data and provide Enrollment assistance to Members, and (3) the External Quality Review Organization.
External Quality Review Organization (EQRO) – An independent entity that contracts with the State and evaluates the access, timeliness, and quality of care delivered by the STAR+PLUS MMP to their Enrollees.
More Definitions of External Quality Review Organization
External Quality Review Organization. An organization that meets the competence and independence requirements set forth in § 438.354, and performs external quality review, other EQR-related activities as set forth in § 438.358, or both.
External Quality Review Organization that has a contract with the Department to perform federally required oversight and monitoring of the quality assurance component of managed care. Quality oversight and monitoring shall include, but is not limited to, annual onsite review, attendance at one of the quality assurance meetings, and ongoing monitoring of quality outcomes and timeliness of, and access to, the Covered Services.
External Quality Review Organization or "EQRO" means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality reviews, other external quality review related activities as set forth in 42 CFR 438.358, or both.
External Quality Review Organization means an organization that meets the competence and independence requirements under Code of Federal Regulations, part 42, section 438.354, and performs external quality review and may perform other external quality review-related activities as required under Code of Federal Regulations, part 42, section 438.358.
External Quality Review Organization or “EQRO” has the meaning as defined in 42 C.F.R. § 438.320.
External Quality Review Organization. Means an organization that meets the competence and independence requirements set forth in §438.354, and performs external quality review, other EQR-related activities as set forth in §438.358, or both.
External Quality Review Organization and “EQRO” means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality review, other EQR- related activities as set forth in 42 CFR 438.358 or both. The Acronym “EQRO” has the same definition.