Performance monitoring and data analysis are critical components in assessing how well the Managed Care Organizations (MCOs) are maintaining and improving the quality of care delivered to members. The quarterly reports, with a number of elements required through oversight legislation, are comprehensive and focus on compliance areas, as well as health outcomes over time. The Department examines the data from a compliance perspective and conducts further analysis if any issues are identified. While there are specific performance standards in the contract for a limited set of items, not all data reported is directly linked to a contractual requirement. Items which do have contractual requirements are indicated in the reports.

Medical Reports

State Fiscal Year 2023, Quarter 3 (Q3 SFY23)

State Fiscal Year 2023, Quarter 2 (Q2 SFY23)

State Fiscal Year 2023, Quarter 1 (Q1 SFY23)

 

State Fiscal Year 2022, Quarter 4 (Q4 SFY22)

State Fiscal Year 2022, Quarter 3 (Q3 SFY22)

State Fiscal Year 2022, Quarter 2 (Q2 SFY22)

State Fiscal Year 2022, Quarter 1 (Q1 SFY22)

 

State Fiscal Year 2021, Quarter 4 (Q4 SFY21)
State Fiscal Year 2021, Quarter 3 (Q3 SFY21)
State Fiscal Year 2021, Quarter 2 (Q2 SFY21)

State Fiscal Year 2021, Quarter 1 (Q1 SFY21)

 

State Fiscal Year 2020, Quarter 4 (Q4 SFY20)

State Fiscal Year 2020, Quarter 3 (Q3 SFY20)

State Fiscal Year 2020, Quarter 2 (Q2 SFY20)

State Fiscal Year 2020, Quarter 1 (Q1 SFY20)

 

State Fiscal Year 2019, Quarter 4 (Q4 SFY19)

State Fiscal Year 2019, Quarter 3 (Q3 SFY19)

State Fiscal Year 2019, Quarter 2 (Q2 SFY19)

State Fiscal Year 2019, Quarter 1 (Q1 SFY19)

State Fiscal Year 2018, Quarter 4 (Q4 SFY18)

State Fiscal Year 2018, Quarter 3 (Q3 SFY18)

State Fiscal Year 2018, Quarter 2 (Q2 SFY18)

State Fiscal Year 2018, Quarter 1 (Q1 SFY18)

 

State Fiscal Year 2017, Quarter 4 (Q4 SFY17)

State Fiscal Year 2017, Quarter 3 (Q3 SFY17)

State Fiscal Year 2017, Quarter 2 (Q2 SFY17) 

State Fiscal Year 2017, Quarter 1 (Q1 SFY17)

 

State Fiscal Year 2016, Quarter 4 (Q4 SFY16)

 

Dental Reports

DWP State Fiscal Year 2023, Quarter 3 (Q3 SFY23)

Hawki State Fiscal Year 2023, Quarter 3 (Q3 SFY23)

DWP State Fiscal Year 2023, Quarter 2 (Q2 SFY23)

Hawki State Fiscal Year 2023, Quarter 2 (Q2 SFY23)