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Department of Health Care Finance - DHCF

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Managed Care Quality Strategy

The Medicaid Managed Care Quality Strategy is the framework used by the DC Department of Health Care Finance (DHCF) for guiding the agency's mission to provide comprehensive, cost-effective, and quality healthcare services to District Residents with the goal of improving health outcomes. The Quality Strategy documents DHCF’s approach to assessing and improving quality of health care and services received by beneficiaries enrolled in Managed Care Organizations (MCOs).

External Quality Review Organization (EQRO)

The DHCF contracts with Qlarant, an External Quality Review Organization (EQRO), to evaluate the quality, access, and timeliness of services provided to Medicaid managed care enrollees. Evaluation findings are published in an Annual Technical Report (ATR). To access EQRO ATRs, click here.

Consumer Report Card

Each year the DHCF publishes an MCO report card that compares how the Medicaid MCOs compare to one another in key areas such as access to care.