Table 2. Measures for Centennial Care Evaluation Research NQF Stratification Comparison Questions Measure Number Data Source Category Groups Frequency Goal 1. Assure that Medicaid beneficiaries in the program receive the right amount of care, delivered at the right time, in the right setting A. Has Access to Similar HEDIS /NCQA MCO; demographic Comparison to Annual Centennial Care preventive/ambulatory to 1332 characteristics* baseline; impacted access health services among (such as age, gender, trending over to care for all Centennial Care race/ethnicity, time populations and enrollees in aggregate geographic region services covered and within subgroups (including rural, under the urban, and frontier), waiver, county) including Mental health services HEDIS/NCQA MCO; demographic Comparison to Annual physical health, utilization characteristics baseline; behavioral trending over health, and time LTSS services? Number of MCO telehealth MCO; geographic Comparison to Reported by telemedicine report region; service type baseline; MCOs providers and (physical health, trending over quarterly; telemedicine LTSS, and time evaluator may utilization behavioral health) summarize to present annually Number and MMIS and encounter MCO; demographic Pre-Centennial Annual percentage of people data characteristics; care Care compared meeting nursing coordination level to post facility LOC who are Centennial in a nursing facility Care; trending over time Number and MMIS and encounter MCO; demographic Pre-Centennial Annual percentage of people data characteristics; care Care compared meeting nursing coordination level; to post facility LOC who self-directed Centennial
Table 2. Measures for Centennial Care Evaluation Research Questions Measure NQF Number Data Source Stratification Category Comparison Groups Frequency Goal 1. Assure that Medicaid beneficiaries in the program receive the right amount of care, delivered at the right time, in the right setting A. Has Centennial Care impacted access to care for all populations and services covered under the waiver, including physical health, behavioral health, and LTSS services? Access to preventive/ambulatory health services among Centennial Care enrollees in aggregate and within subgroups Similar to 1332 HEDIS /NCQA MCO; demographic characteristics* (such as age, gender, race/ethnicity, geographic region (including rural, urban, and frontier), county) Comparison to baseline; trending over time Annual Mental health services utilization HEDIS/NCQA MCO; demographic characteristics Comparison to baseline; trending over time Annual Number of telemedicine providers and telemedicine utilization MCO telehealth report MCO; geographic region; service type (physical health, LTSS, and behavioral health) Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present annually Number and percentage of people meeting nursing facility LOC who are in a nursing facility MMIS and encounter data MCO; demographic characteristics; care coordination level Pre-Centennial Care compared to post Centennial Care; trending over time Annual Number and percentage of people meeting nursing facility LOC who MMIS and encounter data MCO; demographic characteristics; care coordination level; self-directed Pre-Centennial Care compared to post Centennial Annual
Evaluation%20of%20the%20Centennial%20Care%201115%20Demonstration%20Waiver%20-%201463080000006%20.docx