Quality Management

The goal of our Quality Management Department is to assist providers with giving quality services to their patients, our members. Resource brochures were developed to educate/inform providers about the quality goals established by the Office of Medicaid Policy and Planning.

Family Practice/General Practice	Condition and Disease Management Program Guides
Diabetes	Attention Deficit Hyperactivity Disorder (ADHD)
Health Literacy	Asthma
What is HEDIS?	Chronic Kidney Disease
	Chronic Obstructive Pulmonary Disease (COPD)
Medical Record Review	Complex Case/Care Management Program
Medical Record Standards	Congestive Heart Failure
	Coronary Artery Disease (CAD)
Medical Record Review Analysis	Diabetes
Medical Record Audit Physician Summary	Major Depressive Disorders
Provider Action Plan	Pervasive Developmental Disorders

OB/GYN	Pediatric
Cervical Cancer Screening	ADHD
Chlamydia Screening	Well Child 0-15

HEDIS	Behavioral Health
Well-Child Visit	Psychiatric Observation Services

Additional Medical Management Resources