Continuously and Ongoing Other Specify: b Sub-assurance: The levels of care of enrolled participants are reevaluated at least annually or as specified in the approved waiver. i. Performance Measures Performance No longer needed in new QM system. Measure: Data Source (Select one) (Several options are listed in the on-line application):Other If is selected, specify: ‘Other’ No longer needed. Responsible Party for Frequency of data Sampling Approach data collection/generation: (check each that collection/generation (check each that applies) (check each that applies) applies) State Medicaid Agency Weekly 100% Review Operating Agency Monthly Less than 100% Review Sub-State Entity Quarterly Representative Sample; Confidence Interval = Other Annually Specify: No longer needed. Continuously and Stratified: Describe Ongoing Group: Other Specify: No longer needed. Other Specify: No longer needed. Add another Data Source for this performance measure Data Aggregation and Analysis Responsible Party for data Frequency of data aggregation and analysis aggregation and analysis: (check each that (check each that applies applies State Medicaid Agency Weekly Operating Agency Monthly Sub-State Entity Quarterly Other Annually Specify:
Continuously and Ongoing Other Specify: b Sub-assurance: The levels of care of enrolled participants are reevaluated at least annually or as specified in the approved waiver. i. Performance Measures Performance Measure: No longer needed in new QM system. Data Source (Select one) (Several options are listed in the on-line application):Other If ‘Other’ is selected, specify: No longer needed. Responsible Party for data collection/generation (check each that applies) Frequency of data collection/generation: (check each that applies) Sampling Approach (check each that applies) State Medicaid Agency Weekly 100% Review Operating Agency Monthly Less than 100% Review Sub-State Entity Quarterly Representative Sample; Confidence Interval = Other Specify: Annually No longer needed. Continuously and Ongoing Stratified: Describe Group: Other Specify: No longer needed. Other Specify: No longer needed. Add another Data Source for this performance measure Data Aggregation and Analysis Responsible Party for data aggregation and analysis (check each that applies Frequency of data aggregation and analysis: (check each that applies State Medicaid Agency Weekly Operating Agency Monthly Sub-State Entity Quarterly Other Specify: Annually
few-renewal-application-draft-2018.docx