Loading...
First Choice VIP Care Plus by Select Health of South Carolina : 2024 External Quality Review
South Carolina Department of Health and Human Services Constellation Quality Health (Firm)
South Carolina Department of Health and Human Services
Constellation Quality Health (Firm)
Abstract
At the request of the South Carolina Department of Health and Human Services (SCDHHS), Constellation Quality Health (Constellation) conducted an External Quality Review (EQR) of First Choice VIP Care Plus by Select Health of South Carolina (Select Health) Coordinated and Integrated Care for Medicare-Medicaid recipients. This review focused on network adequacy for home and community-based services and behavioral health providers, over- and under-utilization, and care transitions. The goals of the review were to: Determine if Select Health is following service delivery as mandated in the contract with SCDHHS and in the federal regulations; Evaluate the status of deficiencies identified during the 2023 annual EQR and any ongoing quality improvements taken to remedy those deficiencies; Provide feedback for potential areas of further improvement; Validate contracted health care services are being delivered and are of good quality.
Issue Date
2024-09-19
Keywords
Select Health of South Carolina--Evaluation, First Choice VIP Care Plus--Evaluation, Medicare--South Carolina--Evaluation, Medicaid--South Carolina--Evaluation, Managed care plans (Medical care)--South Carolina--Evaluation
Type
Document
Rights
Records, documents, and information made available by the agencies of the South Carolina state government or its subdivisions are made accessible through the South Carolina State Library Depository and are protected under U.S. Copyright law (Title 17, U.S.C.) and South Carolina state law (Title 30 and 60, S.C.C.L.). Distribution rights are determined by the agency or author and users should contact the aforementioned for more information.
Digitization Specifications
This South Carolina State Document was either saved from a document available publicly online in PDF format or converted to PDF using Adobe Acrobat DC.