Medicaid External Quality Review

HSAG is the only EQRO that is also a National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS^®) Certified Survey Vendor and NCQA Licensed Organization with the capability of conducting certified HEDIS^®1 Compliance Audits™².

HSAG staffs its contracts with highly skilled and credentialed professionals, such as Certified HEDIS Compliance Auditors (CHCAs), Certified Professionals in Healthcare Quality (CPHQs), registered nurses, master’s-prepared social workers, statisticians, biostatisticians, and epidemiologists.

HSAG has extensive experience working with states that are implementing Medicaid managed care programs for the first time in their state (Arizona, California, Colorado, Florida, Hawaii, Iowa, Nevada, and New Hampshire). HSAG provides technical guidance on each EQR activity so the state may effectively meet its federal EQR requirements.

HSAG has the capacity to compare a large volume of data and create customized reports that assist states in monitoring their Medicaid programs. HSAG’s customized reporting for each state enables the state to use its EQR reports to make data-driven decisions about its program.

HSAG has proven success in developing and implementing innovative electronic tools and websites for states to use. In some states, HSAG has become an extension of the state’s data staff members, providing accurate and timely training, support, and helpdesk service for all hours of business.