External Quality Review

To learn more, contact:
Jenny Klink
Vice President of Managed Health and Long-Term Care
1-800-362-2320 or 1-608-274-1940, ext. 8216

MetaStar is an External Quality Review Organization, meeting the independence and competence requirements set forth by the Centers for Medicare & Medicaid Services (CMS). Through independent assessments, we analyze and evaluate the quality, timeliness and access to care that managed care programs furnish to Medicaid recipients.

MetaStar is the External Quality Review Organization under contract with the Wisconsin Department of Health Services (DHS) to provide independent evaluation of compliance with federal Medicaid managed care regulations and DHS contract requirements for organizations operating the following programs in the State of Wisconsin:

  • Family Care
  • Family Care Partnership
  • Program of All-Inclusive Care for the Elderly (PACE)
  • BadgerCare Plus
  • Supplemental Security Income (SSI) managed care
  • Care4Kids

These programs serve a wide variety of Wisconsin Medicaid recipients including adults with physical and intellectual disabilities, those who are blind or frail elders, as well as children, and pregnant women.  More information about each program can be found on DHS’s website.

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