reporting, and Use of different care TBD once TBD once TBD once TBD once delivery system delivery models, such implemented implemented implemented implemented reform? as number of health home participants Percentage of claims MCO claims MCO Comparison to Reported by paid accurately payment accuracy baseline; MCOs reports trending over monthly; time evaluator may summarize to present annually Use and outcomes of TBD once TBD once TBD once TBD once payment reforms, e.g., implemented implemented implemented implemented bundled rates for adult diabetes, pediatric asthma, and urban hospitals Number and MCO electronic visit MCO Comparison to Reported by percentage of visits in verification report baseline; MCOs compliance with trending over monthly; electronic visit time evaluator may verification system summarize to requirement present annually Adoption of electronic MCO care MCO Comparison to Reported by case management/care coordination report baseline; MCOs coordination system trending over quarterly; by MCOs time evaluator may summarize to present annually
reporting, and delivery system reform? Use of different care delivery models, such as number of health home participants TBD once implemented TBD once implemented TBD once implemented TBD once implemented Percentage of claims paid accurately MCO claims payment accuracy reports MCO Comparison to baseline; trending over time Reported by MCOs monthly; evaluator may summarize to present annually Use and outcomes of payment reforms, e.g., bundled rates for adult diabetes, pediatric asthma, and urban hospitals TBD once implemented TBD once implemented TBD once implemented TBD once implemented Number and percentage of visits in compliance with electronic visit verification system requirement MCO electronic visit verification report MCO Comparison to baseline; trending over time Reported by MCOs monthly; evaluator may summarize to present annually Adoption of electronic case management/care coordination system by MCOs MCO care coordination report MCO Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present annually
Evaluation%20of%20the%20Centennial%20Care%201115%20Demonstration%20Waiver%20-%201463080000006%20.docx