Number of members Fulfillment vendor Populations of Comparison to Annual spending credits report on member special interest; baseline; rewards program demographic trending over activities characteristics time Goal 4. Streamline and modernize the Medicaid program in the state A. Are enrollees Percentage of MCO grievances and MCO; populations Comparison to Reported by satisfied with grievances with appeals report of special interest baseline; MCOs their providers expedited resolution trending over quarterly; and the services within 3 business days time evaluator may they receive? summarize to present annually Percentage of MCO grievances and MCO; populations Comparison to Reported by grievances resolved appeals report of special interest baseline; MCOs within 30 days trending over quarterly; time evaluator may summarize to present annually Percentage of appeals MCO grievances and MCO; populations Comparison to Reported by upheld appeals report of special interest baseline; MCOs trending over quarterly; time evaluator may summarize to present annually Percentage of appeals MCO grievances and MCO; populations Comparison to Reported by partially overturned appeals report of special interest baseline; MCOs trending over quarterly; time evaluator may summarize to present
Number of members spending credits Fulfillment vendor report on member rewards program activities Populations of special interest; demographic characteristics Comparison to baseline; trending over time Annual Goal 4. Streamline and modernize the Medicaid program in the state A. Are enrollees satisfied with their providers and the services they receive? Percentage of grievances with expedited resolution within 3 business days MCO grievances and appeals report MCO; populations of special interest Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present annually Percentage of grievances resolved within 30 days MCO grievances and appeals report MCO; populations of special interest Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present annually Percentage of appeals upheld MCO grievances and appeals report MCO; populations of special interest Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present annually Percentage of appeals partially overturned MCO grievances and appeals report MCO; populations of special interest Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present
Evaluation%20of%20the%20Centennial%20Care%201115%20Demonstration%20Waiver%20-%201463080000006%20.docx