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Quality matters

You and your child deserve to get the highest quality care. And we work with your provider to make sure that happens. Together, we're committed to giving you the best health care experience possible.

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Just call 1-800-822-2447 (TTY: 711). We’re here for you Monday through Friday, 8 AM to 5 PM. 

Providing you with quality service

Providing you with quality service

Making sure you get the highest quality care when you need it is our goal. We partner with local providers who understand your needs. And the National Committee for Quality Assurance (NCQA) continues to accredit us. This is because we score high on:

 

Member satisfaction surveys

 

You may receive a member satisfaction survey in the mail. Your answers on our Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys are private. We use the results of those surveys to improve the ways we take care of our members. You can reach out to Member Services to learn more. Just call 1-800-822-2447 (TTY: 711).

Our goals and objectives

Our goals and objectives

The Quality Improvement program includes these goals:

 

  • Promote and build quality into the daily operations and policies of the health plan.
  • Continually check and assess your needs, care and services to ensure you’re getting quality care at the right time.
  • Find areas for improvement and act on them.
  • Encourage patient safety through seasonal communications to you (for example, flu mailers).
  • Ensure we meet or exceed the highest quality by following local, state and federal regulatory requirements and accreditation standards.
  • Provide support for the things that affect health, like rides, food and housing support.
  • Ensure members of all backgrounds and income levels get the same quality of health care.

Our services

Our services

The program provides many services, which include:

 

  • Providing behavioral health support and programs

  • Sending you helpful texts, postcards, and newsletters about your health

  • Reviewing primary care provider offices to make sure they meet state standards

  • Reviewing the quality of our services 

  • Reminding you and your provider about preventive health care

  • Measuring your satisfaction with your provider and health care services

  • Screening phone calls to ensure that we answer your call quickly and that you get the correct info

  • Working with your providers to ensure they get all the info they need from us to provide you with quality care 

  • Offering health programs, including info about chronic illnesses and one-on-one support for social determinants of health (conditions in the places where you live, learn, work and play that affect your health)

Accredited Health plan NCQA
Multicultural Health Care Distinction NCQA

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