CCO Quality Assurance

About Quality Assurance

Quality Assurance (QA) is a continuous cycle of evaluation. To achieve this, we must:
Assess or evaluate quality using a variety of data sources
Identify problems or shortcomings in the delivery system
Make recommendations to overcome these deficiencies
Monitor to ensure the effectiveness of the corrective steps

Health System Division's CCO Quality Assurance team is focused on compliance specifically related to the federal regulations, managed care requirements, Oregon Administrative Rules (OARs) and our CCO Contracts.

Questions? Please contact HSD.QualityAssurance@odhsoha.oregon.gov.

Projects & Activities

External Quality Reports

The Oregon Health Authority contracts with an external quality review organization (EQRO) to perform external quality review of the Medicaid managed care services delivered to Oregon Health Plan members.

OHA's EQRO is Health Services Advisory Group (HSAG). HSAG helps determine the Managed Care Entities' compliance with federal (42 CFR 438) and state requirements related to access, structure and operations, and quality measurement and improvement.
42 CFR §438.358 identifies mandatory and optional EQR activities to be performed.