Services are delivered in Percent of new participants Data source: Person-centered accordance with the service receiving services according Plan record reviews financial Plan, including the type, to their POC within 45 days of records. scope, amount, duration, approval of their POC. Data collection responsible and frequency specified in MCO. the service plan. Frequency of data collection: Percent of participants who Quarterly. received services in the type, Sampling: Representative amount, duration, and sample, 95% CI. frequency specified in the Data aggregation responsible POC. party: MCO. Frequency of data aggregation and analysis: Semiannually. Participants are afforded Percent of participant records Data source: Record reviews, choice between/among reviewed with a completed, onsite. waiver services and signed freedom of choice form Data collection responsible providers. that specifies choice was party: MCO. offered among waiver Frequency of data collection: services and providers. Continuously and ongoing. Sampling: Representative Percent of participants sample, 95% CI. reviewed with a POC that includes the participant's Data aggregation responsible and/or guardian/caregiver's party: MCO and DOH. signature as consistent with Frequency of data aggregation and federal guidelines. and analysis: Semi-annually. 4 Qualified providers: The State verifies that Percent of waiver providers Data source: MCO credentialing Providers meet required providers initially and providing waiver services who files. qualifications. continually meet required meet licensure and Data collection responsible licensure and/or certification requirements prior party: MCO. certification standards and Frequency of data collection:
Services are delivered in accordance with the service Plan, including the type, scope, amount, duration, and frequency specified in the service plan. Percent of new participants receiving services according to their POC within 45 days of approval of their POC. Percent of participants who received services in the type, amount, duration, and frequency specified in the POC. Data source: Person-centered Plan record reviews financial records. Data collection responsible MCO. Frequency of data collection: Quarterly. Sampling: Representative sample, 95% CI. Data aggregation responsible party: MCO. Frequency of data aggregation and analysis: Semiannually. Participants are afforded choice between/among waiver services and providers. Percent of participant records reviewed with a completed, signed freedom of choice form that specifies choice was offered among waiver services and providers. Percent of participants reviewed with a POC that includes the participant's and/or guardian/caregiver's signature as consistent with and federal guidelines. Data source: Record reviews, onsite. Data collection responsible party: MCO. Frequency of data collection: Continuously and ongoing. Sampling: Representative sample, 95% CI. Data aggregation responsible party: MCO and DOH. Frequency of data aggregation and analysis: Semi-annually. 4 Qualified providers: Providers meet required qualifications. The State verifies that providers initially and continually meet required licensure and/or certification standards and Percent of waiver providers providing waiver services who meet licensure and certification requirements prior Data source: MCO credentialing files. Data collection responsible party: MCO. Frequency of data collection:
nyc-final-rfq.docx