Performance Measures and Encounter Data Validation

Physical Health and Behavioral Health Organization Performance Measure Validation

Health Services Advisory Group (HSAG), the Department of Health Care Policy & Financing's External Quality Review Organization (EQRO), conducts validation activities outlined in the CMS Performance Measure Validation Protocol for Physical Health and each of the Behavioral Health Organizations (BHOs). The performance measures are calculated on an annual basis. Each BHO is subject to the same measures making it possible to compare performance measures for each health plan.

Regional Accountable Entities (RAEs)

2022

2021

2020

Physical Health Care Performance Measure Validation

2021

2020

2019

2018

2017

2016

Access Behavioral Care Performance Measure Validation

Behavioral HealthCare Inc. Performance Measure Validation

Colorado Health Partnerships

Foothills Behavioral Health Partners

BHO-HCPF Annual Performance Measures Scope Documents

2015

Access Behavioral Care Northeast

CHP+ State Managed Care Network (SMCN) Claims Audit