Responsible Party for Frequency of data data aggregation and aggregation and analysis analysis: (check each that (check each that applies applies X State Medicaid Agency Weekly X Operating Agency Monthly Sub-State Entity Quarterly Other X Annually Specify: Continuously and Ongoing Other Specify: Performance Number and percentage of PCSPs that were updated/revised when SP c. 2. Measure: warranted by changes in the needs. participant’s Data Source (Select one) (Several options are listed in the on-line application): If is selected, specify: ‘Other’ Responsible Party for Frequency of data Sampling Approach data collection/generation: (check each that collection/generation (check each that applies) (check each that applies) applies) X State Medicaid Agency Weekly 100% Review X Operating Agency Monthly X Less than 100% Review Sub-State Entity Quarterly X Representative Sample; Confidence Interval =5 Other X Annually Specify: Continuously and Stratified: Describe Ongoing Group: Other Specify: Other Specify: Data Source (Select one) (Several options are listed in the on-line application): If is selected, specify: ‘Other’ Responsible Party for Frequency of data Sampling Approach data collection/generation: (check each that collection/generation (check each that applies) (check each that applies)
Responsible Party for data aggregation and analysis (check each that applies Frequency of data aggregation and analysis: (check each that applies X State Medicaid Agency Weekly X Operating Agency Monthly Sub-State Entity Quarterly Other Specify: X Annually Continuously and Ongoing Other Specify: Performance Measure: SP c. 2. Number and percentage of PCSPs that were updated/revised when warranted by changes in the participant’s needs. Data Source (Select one) (Several options are listed in the on-line application): If ‘Other’ is selected, specify: Responsible Party for data collection/generation (check each that applies) Frequency of data collection/generation: (check each that applies) Sampling Approach (check each that applies) X State Medicaid Agency Weekly 100% Review X Operating Agency Monthly X Less than 100% Review Sub-State Entity Quarterly X Representative Sample; Confidence Interval =5 Other Specify: X Annually Continuously and Ongoing Stratified: Describe Group: Other Specify: Other Specify: Data Source (Select one) (Several options are listed in the on-line application): If ‘Other’ is selected, specify: Responsible Party for data collection/generation (check each that Frequency of data collection/generation: (check each that applies) Sampling Approach (check each that applies)