The EQRO Division is asked to expand the performance improvement project (PIP) evaluation activity and reporting to cover all such studies submitted by the state’s managed care organizations rather than just a sample of one or two each. The Quality Oversight Division also requested assistance with analyzing and reporting data from the long-term support services customer satisfaction survey of TennCare members and added to EQRO responsibilities an annual medical record review of EPSDT services and an audit of sterilizations and specified women’s health services to help ensure compliance with federal and state regulations.