Regional Generic Provider Agreement - Ohio Department of Job and ...

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Appendix M Covered Families and Children (CFC) population Page 8 (For example, if last year’s results were 20%, then the difference between the target and last year’s results is 60%. In this example, the standard is an improvement in performance of 10% of this difference or 6%. In this example, results of 26% or better would be compliant with the standard.) Regional-Based Statewide Target: TBD Regional-Based Statewide Minimum Performance Standard: TBD Action Required for Noncompliance: Beginning SFY 2007, if the standard is not met and the results are below 42% (44% for SFY 2009), the MCP is required to complete a Corrective Action Plan to address the area of noncompliance. If the standard is not met and the results are at or above 42% (44% for SFY 2009), ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results. 1.c.ii. Perinatal Care - Initiation of Prenatal Care Measure: The percentage of enrolled women with a live birth during the year who had a prenatal visit within 42 days of enrollment or by the end of the first trimester for those women who enrolled in the MCP during the early stages of pregnancy. County-Based Statewide Target: At least 90% of the eligible population initiate prenatal care within the specified time. County-Based Statewide Minimum Performance Standard: The level of improvement must result in at least a 10% decrease in the difference between the target and the previous year’s results. Regional-Based Statewide Target: TBD Regional-Based Statewide Minimum Performance Standard: TBD Action Required for Noncompliance: Beginning SFY 2007, if the standard is not met and the results are below 71% (74% for SFY 2009), the MCP is required to complete a Corrective Action Plan to address the area of noncompliance. If the standard is not met and the results are at or above 71% (74% for SFY 2009), ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results. 1.c.iii. Perinatal Care - Postpartum Care Measure: The percentage of women who delivered a live birth who had a postpartum visit on or between 21 days and 56 days after delivery. County-Based Statewide Target: At least 80% of the eligible population must receive a postpartum visit. County-Based Statewide Minimum Performance Standard: The level of improvement must result in at least a 5% decrease in the difference between the target and the previous year’s results.
Appendix M Covered Families and Children (CFC) population Page 9 Regional-Based Statewide Target: TBD Regional-Based Statewide Minimum Performance Standard: TBD Action Required for Noncompliance: Beginning SFY 2007, if the standard is not met and the results are below 48% (50% for SFY 2009), the MCP is required to complete a Corrective Action Plan to address the area of noncompliance. If the standard is not met and the results are at or above 48% (50% for SFY 2009), ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results. 1.c.iv. Preventive Care for Children - Well-Child Visits Measure: The percentage of children who received the expected number of well-child visits adjusted by age and enrollment. The expected number of visits is as follows: Children who turn 15 months old: six or more well-child visits. Children who were 3, 4, 5, or 6, years old: one or more well-child visits. Children who were 12 through 21 years old: one or more well-child visits. County-Based Statewide Target: At least 80% of the eligible children receive the expected number of well-child visits. County-Based Statewide Minimum Performance Standard for Each of the Age Groups: The level of improvement must result in at least a 10% decrease in the difference between the target and the previous year’s results. Regional-Based Statewide Target: TBD Regional-Based Statewide Minimum Performance Standard for Each of the Age Groups: TBD Action Required for Noncompliance (15 month old age group): Beginning SFY 2007, if the standard is not met and the results are below 34% (42% for SFY 2009), the MCP is required to complete a Corrective Action Plan to address the area of noncompliance. If the standard is not met and the results are at or above 34% (42% for SFY 2009), ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results. Action Required for Noncompliance (3-6 year old age group): Beginning SFY 2007, if the standard is not met and the results are below 50% (57% for SFY 2009), the MCP is required to complete a Corrective Action Plan to address the area of noncompliance. If the standard is not met and the results are at or above 50% (57% for SFY 2009), ODJFS will issue a Quality Improvement Directive which will notify the MCP of noncompliance and may outline the steps that the MCP must take to improve the results.
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Baseline Covered Families and Child
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APPENDIX A OAC RULES 5101:3-26 The
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Appendix C Covered Families and Chi
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Appendix D Covered Families and Chi
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Appendix D Covered Families and Chi
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APPENDIX E RATE METHODOLOGY CFC ELI
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APPENDIX F REGIONAL RATES 2. AT-RIS
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Appendix G Covered Families and Chi
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Appendix H Covered Families and Chi
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Appendix H Page 10 ensure that the
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General Hospital 1 Hospital System
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Minimum Provider Panel Requirements
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Minimum Provider Panel Requirements
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General Hospital 1 Total Required H
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PCPs Capacity 1 North East Central
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