Program Overview and Summary
The Eligibility Quality Assurance (EQA) program launched in January 2021. EQA monitors the accuracy of eligibility determinations for Medical Assistance through monthly case reviews. EQA samples approximately one-to-five cases from every eligibility site in the state. These reviews evaluate the eligibility site's compliance with State eligibility regulations, policies, and guidance. EQA's review results are used by the County Incentives program. Approximately two months after a monthly review is complete, the results are uploaded to the Department's Medical Assistance Performance (MAP) Accuracy dashboard.
Questions about the EQA program should be sent to HCPF_MOO_EQR@state.co.us