Quality Improvement
Program Purpose
CareSource PASSE™ is committed to providing quality evidence-based care in a safe, member-centered, timely, efficient and equitable manner. Our Quality Improvement (QI) program is comprehensive and inclusive of both clinical and non-clinical services. CareSource PASSE monitors and evaluates the quality and safety of the care and service delivered to our members, emphasizing:
- Accessibility to care
- Availability of services and practitioners
- Health outcomes
- Internal monitoring review and evaluation of program areas, including Utilization Management, Care Management and Pharmacy services
- Medical, Behavioral Health and Intellectual Developmental Disabilities services
- Member and Provider satisfaction
- Quality of care and member safety
- Service delivery in a culturally competent manner
In addition, the Quality Improvement program ensures that it meets the quality requirements of CareSource PASSE’s contract with the Arkansas Department of Human Services and meets regulatory and accrediting agency compliance, including:
- All federal requirements as outlined in 42 CFR Part 438, Managed Care
- Healthcare Effectiveness Data and Information Set (HEDIS®) compliance audits and performance measurement and
- NCQA accreditation standards.
The Quality Improvement Program assesses its performance against goals and objectives that are in keeping with industry standards. An annual evaluation of the QI program is completed and program information is made available to providers on the CareSource PASSE website.
Contact Us
If you would like more information about CareSource PASSE Quality Improvement, please call Provider Services, Monday through Friday, 8 a.m. to 5 p.m. Central Time (CT) at 1-833-230-2100.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).