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CCME is a qualified, independent, professional review organization that has the necessary skills, knowledge, experience and resources to provide high quality, cost-effective External Quality Review (EQR) services. For more than 25 years, CCME has worked with Medicaid agencies to assist in their efforts to control costs, to monitor and improve quality of care, and to ensure that Medicaid recipients receive appropriate and timely access to services.
As the External Quality Review Organization (EQRO) for the states of Mississippi, North Carolina, and South Carolina, our services include:
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Comprehensive review of the health plans’ compliance with state and federal requirements for a Medicaid managed care organization
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Readiness reviews for new health plans
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Capability assessments of information systems
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Performance measures validation
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Performance improvement projects validation
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Provider access and availability studies
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Consumer and provider satisfaction survey validation
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Ongoing training, education, and technical assistance for health plans
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Evaluation of State’s quality strategy
For more information, contact:
Sandi Owens, LPN
Manager, External Quality Review
sowens@thecarolinascenter.org
803-212-7582
Karen Smith, BA
Project Manager
kksmith@thecarolinascenter.org
919-461-5588
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