Other Specify: Add another Data Source for this performance measure Data Aggregation and Analysis Responsible Party for Frequency of data data aggregation and aggregation and analysis analysis: (check each that (check each that applies applies X State Medicaid Agency Weekly X Operating Agency Monthly Sub-State Entity Quarterly Other Xs Annually Specify: Continuously and Ongoing Other Specify: Performance Number and percentage of events when a level of care is re-evaluated at Measure: the time a substantial change in health status occurs to determine if the individual continues to meet nursing facility level of care, when the screening dictates one was required. The numerator is the number of events in compliance; the denominator is the total number of events that occurred during the review period. Data Source (Select one) (Several options are listed in the on-line application):Other Participant records, CBIA and Participant interviews If ‘Other’ is selected, specify: 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) X State Medicaid Agency Weekly 100% Review X Operating Agency Monthly X Less than 100% Review Sub-State Entity Quarterly X Representative Sample; Confidence Interval = 95% Confidence Level, 5% Margin of Error Other X Annually Specify: Continuously and Stratified: Describe Ongoing Group: Other
Other Specify: 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 X State Medicaid Agency Weekly X Operating Agency Monthly Sub-State Entity Quarterly Other Specify: Xs Annually Continuously and Ongoing Other Specify: Performance Measure: Number and percentage of events when a level of care is re-evaluated at the time a substantial change in health status occurs to determine if the individual continues to meet nursing facility level of care, when the screening dictates one was required. The numerator is the number of events in compliance; the denominator is the total number of events that occurred during the review period. Data Source (Select one) (Several options are listed in the on-line application):Other If ‘Other’ is selected, specify: Participant records, CBIA and Participant interviews 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) X State Medicaid Agency Weekly 100% Review X Operating Agency Monthly X Less than 100% Review Sub-State Entity Quarterly X Representative Sample; Confidence Interval = 95% Confidence Level, 5% Margin of Error Other Specify: X Annually Continuously and Ongoing Stratified: Describe Group: Other
ABI%20Waiver%20Amendment%20-%20Final%20Draft%20for%20Public%20Comment.docx