eQHealth has made great strides in improving the health of citizens in several states, and has all of the right ingredients to do the same for your program.

HealthSystems of Mississippi

In Mississippi, eQHealth Solutions is doing business as HealthSystems of Mississippi (HSM). We are the Medicaid quality improvement organization for the State of Mississippi and are URAC-certified (Utilization Review Accreditation Commission) for utilization management.

We operate a large call center in Jackson, and have been conducting quality and utilization management services in an array of inpatient and outpatient settings since 1997.

HealthSystems of Illinois

In Illinois, we operate as HealthSystems of Illinois (HSI). Serving as the Medicaid quality improvement organization for the State of Illinois, we conduct quality and utilization management for inpatient acute medical/surgical, behavioral health and detoxification hospitalizations.

We have consistently achieved positive and significant impacts in quality of care improvements and program savings. We bring the following expertise to our Medicaid clients:

• Utilization review services.
• Determining participant eligibility and medical necessity.
• Technical assistance/management consulting.
• Customized IT systems.
• Expert consultation on HCBS waivers.
• Quality management consulting.
• Internal and CMS reporting.
• Provider and client monitoring.