External Quality Review

The Wisconsin Department of Health Services contracts with Metastar, an organization based in Madison, to complete an external quality review of each certified Family Care Managed Care Organization on an annual basis.  CCCW’s external quality review takes place each year during the month of March.  The process involves review of CCCW policies, practices, and staff training materials;  staff interviews; review of member and provider files; and member interviews.  Metastar also reviews MCO performance on state-required quality indicators.  Current quality indicators are rates of preventative immunization for influenza and pneumonia, and staff turnover rates.