WSR 21-13-088
HEALTH CARE AUTHORITY
[Filed June 17, 2021, 2:20 p.m.]
NOTICE
Title or Subject: Request for Public Comments - Washington Medicaid and CHIP Quality Rating System (QRS).
Effective Date: January 1, 2022.
Description: The Washington Apple Health Plan Report Card (also known as the enrollee quality report or "Star report card") is produced annually by Washington state health care authority's contracted external quality review organization (EQRO). The report card provides information to eligible apple health clients regarding managed care organization quality in serving medicaid and children's health insurance program (CHIP) clients. The report card is posted annually to the Washington Healthplanfinder website to support selection of an apple health health plan during enrollment.
Washington state health care authority (HCA) plans to submit the report card to the Centers for Medicaid and Medicare Services for approval as an alternative medicaid and CHIP QRS to comply with federal managed care regulations and are seeking public comment regarding [it].
The purpose of the QRS includes:
Assess, improve, and communicate the level of quality of health plans.
Empower medicaid clients by providing information about the quality of available health plans.
Drive improvement in health performance and quality of care.
Help clients make an informed choice when selecting a plan that could improve their health and well-being.
The public comment period for the Washington medicaid and CHIP QRS document is from July 7 through August 8, 2021 at 5 p.m. (Pacific). You can email comments to carey.wallace@hca.wa.gov.
The QRS document can be found at the following linkhttps://www.hca.wa.gov/assets/free-or-low-cost/medicaid-chip-quality-rating-system.pdf.
For additional information, contact Carey Wallace RN, MSN, MBA Nurse Consultant - EQRO, Medicaid Compliance Review Unit, HCA, email carey.wallace@hca.wa.gov.