Virginia External Quality Review of Medicaid and State Children’s Health Insurance Program

Qlarant was responsible for performing External Quality Review required tasks, including Performance Improvement Project Validation, Performance Measure Validation, Operational Systems Review in 3^rd year, Annual Technical Report, conducting Focused Clinical Studies for Birth Outcomes, and Well Child Services (using Hybrid methodology to include Immunizations, Well-Child Visits and Access to Primary Care), and conducting CAHPS survey on Fee-for-Service population in 2nd year.  Qlarant also conducted an Implementation Conference with DMAS and MCOs including setting up Portals and conducting training for VA and MCO staff and attending monthly in-person meetings with VA DMAS staff and MCOs in Richmond, VA.