Tracking of demographic Determination that the Contractor can CMS/State X information demonstrate that the ICO Centralized defined Enrollee Record allows recording of process specific demographic data including measure race, ethnicity, primary language, and homelessness, in compliance with contract requirements. Documentation of care Percent of Enrollees with documented CMS/State X goals (for CY 2014 only) discussions of care goals. defined process measure Access to an IL-LTSS Percent of Enrollees with LTSS needs CMS/State X Coordinator (for CY 2014 who have an IL-LTSS Coordinator. defined only) process measure Consumer governance Establishment of Consumer advisory CMS/State X board board or inclusion of Consumers on defined governance board consistent with process contract requirements. measure Withhold Measures in Demonstration Years 2 and 3 The quality withhold will be 0% in Demonstration Year 2 and 1% in Demonstration Year 3. Payment will be based on performance on the quality withhold measures listed in Figure 4.2, below. Figure 4.2: Quality Withhold Measures for Demonstration Years 2 and 3 CMS Measure Core Steward/Data Withhold Withhold Measure Description Source Measure Measure
Tracking of demographic information Determination that the Contractor can demonstrate that the ICO Centralized Enrollee Record allows recording of specific demographic data including race, ethnicity, primary language, and homelessness, in compliance with contract requirements. CMS/State defined process measure X Documentation of care goals (for CY 2014 only) Percent of Enrollees with documented discussions of care goals. CMS/State defined process measure X Access to an IL-LTSS Coordinator (for CY 2014 only) Percent of Enrollees with LTSS needs who have an IL-LTSS Coordinator. CMS/State defined process measure X Consumer governance board Establishment of Consumer advisory board or inclusion of Consumers on governance board consistent with contract requirements. CMS/State defined process measure X Withhold Measures in Demonstration Years 2 and 3 The quality withhold will be 0% in Demonstration Year 2 and 1% in Demonstration Year 3. Payment will be based on performance on the quality withhold measures listed in Figure 4.2, below. Figure 4.2: Quality Withhold Measures for Demonstration Years 2 and 3 Measure Description Measure Steward/Data Source CMS Core Withhold Measure Withhold Measure