services (respite, family support, and recovery) Number and MMIS and encounter MCO; demographic Comparison to Annual percentage of data characteristics; baseline; unduplicated populations of trending over participants with at CMS Core Quality special interest time least one PCP visit, in Measure for aggregate and among Children subgroups Number/ratio of MCO network MCO; provider type Comparison to Reported by participating adequacy, PCP, and (PCP, etc.) baseline; MCOs providers to enrollees geographic access trending over quarterly; reports time evaluator may summarize to present annually Percentage of PCP MCO PCP report MCO Comparison to Reported by panel slots open baseline; MCOs trending over monthly; time evaluator may summarize to present annually B. Is access to Number and Similar MMIS and encounter MCO; demographic Comparison to Annual care timely? percentage of to 0576 data characteristics; baseline; substance use disorder participants leaving trending over participants with RTC placement time follow-up 7 and 30 days after leaving residential treatment center (RTC)
services (respite, family support, and recovery) Number and percentage of unduplicated participants with at least one PCP visit, in aggregate and among subgroups MMIS and encounter data CMS Core Quality Measure for Children MCO; demographic characteristics; populations of special interest Comparison to baseline; trending over time Annual Number/ratio of participating providers to enrollees MCO network adequacy, PCP, and geographic access reports MCO; provider type (PCP, etc.) Comparison to baseline; trending over time Reported by MCOs quarterly; evaluator may summarize to present annually Percentage of PCP panel slots open MCO PCP report MCO Comparison to baseline; trending over time Reported by MCOs monthly; evaluator may summarize to present annually B. Is access to care timely? Number and percentage of substance use disorder participants with follow-up 7 and 30 days after leaving residential treatment center (RTC) Similar to 0576 MMIS and encounter data MCO; demographic characteristics; participants leaving RTC placement Comparison to baseline; trending over time Annual
Evaluation%20of%20the%20Centennial%20Care%201115%20Demonstration%20Waiver%20-%201463080000006%20.docx