Number and MMIS and encounter MCO; care Comparison to Annual percentage of data; record review coordination level; baseline; participants receiving of a representative demographic trending over HCBS whose services sample characteristics; time were delivered in population with accordance with the LTSS needs; ISP (type, scope, population with amount, and behavioral health frequency) needs; self-directed population Number and MCO unreachable MCO; demographic Comparison to Reported by percentage of members report characteristics; baseline; MCOs participants who populations of trending over monthly; refuse care special interest time evaluator may coordination summarize to present annually Goal 2. Ensure that expenditures for care and services being provided are measured in terms of quality and not solely by quantity A. Has quality of EPSDT screening CMS 416 report MCO; demographic Comparison to Annual care improved ratio characteristics baseline; under Centennial trending over Care? time Monitoring for HEDIS/NCQA MCO; demographic Comparison to Annual patients on persistent characteristics baseline; medications CMS Core Quality trending over Measure for Adults time Neonatal mortality MMIS and encounter MCO; demographic Comparison to Annual rate (AHRQ Pediatric characteristics; baseline; Quality Indicators) populations of trending over special interest time
Number and percentage of participants receiving HCBS whose services were delivered in accordance with the ISP (type, scope, amount, and frequency) MMIS and encounter data; record review of a representative sample MCO; care coordination level; demographic characteristics; population with LTSS needs; population with behavioral health needs; self-directed population Comparison to baseline; trending over time Annual Number and percentage of participants who refuse care coordination MCO unreachable members report MCO; demographic characteristics; populations of special interest Comparison to baseline; trending over time Reported by MCOs monthly; evaluator may summarize to present annually Goal 2. Ensure that expenditures for care and services being provided are measured in terms of quality and not solely by quantity A. Has quality of care improved under Centennial Care? EPSDT screening ratio CMS 416 report MCO; demographic characteristics Comparison to baseline; trending over time Annual Monitoring for patients on persistent medications HEDIS/NCQA CMS Core Quality Measure for Adults MCO; demographic characteristics Comparison to baseline; trending over time Annual Neonatal mortality rate (AHRQ Pediatric Quality Indicators) MMIS and encounter MCO; demographic characteristics; populations of special interest Comparison to baseline; trending over time Annual
Evaluation%20of%20the%20Centennial%20Care%201115%20Demonstration%20Waiver%20-%201463080000006%20.docx