level/LOC c. Move to a higher care coordination level/LOC Percentage of MMIS and encounter MCO; demographic Comparison to Annual population accessing a data characteristics baseline; behavioral health trending over service that received time an outpatient, ambulatory visit in the same year Diabetes screening for 1932 HEDIS/NCQA MCO; demographic Comparison to Annual people with characteristics baseline; schizophrenia or trending over bipolar disorder who time are using antipsychotic medications Diabetes monitoring 1934 HEDIS/NCQA MCO; demographic Comparison to Annual for people with characteristics baseline; diabetes and trending over schizophrenia time Goal 3. Slow the growth rate of costs or "bend the cost curve" over time without cutting benefits or services, changing eligibility, or reducing provider rates A. To what Total program Audited MCO Total program; Trending over Annual extent did expenditures financial reports; populations of time service encounter payment special interest; utilization and data demographic costs increase or characteristics; decrease due to domains of service;
level/LOC c. Move to a higher care coordination level/LOC Percentage of population accessing a behavioral health service that received an outpatient, ambulatory visit in the same year MMIS and encounter data MCO; demographic characteristics Comparison to baseline; trending over time Annual Diabetes screening for people with schizophrenia or bipolar disorder who are using antipsychotic medications 1932 HEDIS/NCQA MCO; demographic characteristics Comparison to baseline; trending over time Annual Diabetes monitoring for people with diabetes and schizophrenia 1934 HEDIS/NCQA MCO; demographic characteristics Comparison to baseline; trending over time Annual Goal 3. Slow the growth rate of costs or "bend the cost curve" over time without cutting benefits or services, changing eligibility, or reducing provider rates A. To what extent did service utilization and costs increase or decrease due to Total program expenditures Audited MCO financial reports; encounter payment data Total program; populations of special interest; demographic characteristics; domains of service; Trending over time Annual
Evaluation%20of%20the%20Centennial%20Care%201115%20Demonstration%20Waiver%20-%201463080000006%20.docx