B&A serves as the External Quality Review Organization for the Medicaid managed care program, Hoosier Healthwise. An annual evaluation is conducted which includes both a desk review of policies and procedures as well as onsite reviews at the three managed care organizations. B&A conducted reviews in 2007 and 2008 and have been awarded a contract extension through 2012.
Additionally, B&A will be conducting annual reviews beginning in 2009 of OMPP’s other two large-scale Medicaid programs—Care Select (a care management program for clients with long term care needs) and Healthy Indiana Plan (the slimmer package for low-income working uninsured not eligible for Medicaid).
The EQR reports for Hoosier Healthwise in 2007 and 2008 can be found in our Publications section.