Five-year contract award to provide continuing utilization management services and new quality improvement activities for Medicaid participants
WASHINGTON — Qualis Health has signed a contract renewal with the District of Columbia Department of Health Care Finance (DHCF). Under the contract, Qualis Health will continue its partnership with the DHCF to improve health outcomes for District residents by ensuring access to comprehensive, cost-effective and quality health care services.
Since 2014, Qualis Health has worked closely with DHCF to provide utilization management for the District’s more than 67,000 fee-for-service Medicaid Program participants. Qualis Health will continue to conduct patient care reviews for a variety of health care services.
New services under this contract include the development of nursing home quality management, quality of care monitoring and evaluation, the establishment of a nursing home quality improvement collaborative, and an annual nursing home beneficiary and family member survey.
“Qualis Health strives to improve value in the health care system by ensuring the delivery of high quality clinical services at a reasonable cost,” said Marci Scott-Weis, RN, M.P.H., CCM, chief operating officer. “We are pleased to continue our work with the District of Columbia to accomplish their vision of ensuring availability and access to appropriate health care for all residents.”
“Qualis Health is proud to serve the District and its Medicaid Program participants, and grateful for this opportunity to continue our services as the District’s utilization management and quality improvement organization,” said Janet Blackwood, project director. “Our team of health care professionals looks forward to continuing our partnership, and we are committed to building upon the success of our current contract with the District.”
The DHCF provides health care for more than 250,000 eligible elderly and disabled individuals and eligible low-income pregnant women, children and parents.
Qualis Health also provides utilization management and quality review services for the Alabama, Alaska, Idaho, Kansas, New Mexico, Washington and Wyoming state Medicaid agencies.