Regional Generic Provider Agreement - Ohio Department of Job and ...
Regional Generic Provider Agreement - Ohio Department of Job and ...
Regional Generic Provider Agreement - Ohio Department of Job and ...
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Appendix M<br />
Covered Families <strong>and</strong> Children (CFC) population<br />
Page 11<br />
Action Required for Noncompliance: Beginning SFY 2007, if the st<strong>and</strong>ard is not met <strong>and</strong> the<br />
results are below 40% (42% for SFY 2009), the MCP is required to complete a Corrective Action<br />
Plan to address the area <strong>of</strong> noncompliance. If the st<strong>and</strong>ard is not met <strong>and</strong> the results are at or above<br />
40% (42% for SFY 2009), ODJFS will issue a Quality Improvement Directive which will notify the<br />
MCP <strong>of</strong> noncompliance <strong>and</strong> may outline the steps that the MCP must take to improve the results.<br />
1.c.vii. Lead Screening<br />
Measure: The percentage <strong>of</strong> one <strong>and</strong> two year olds who received a blood lead screening by age<br />
group.<br />
County-Based Statewide Target: At least 80% <strong>of</strong> the eligible population receive a blood lead<br />
screening.<br />
County-Based Statewide Minimum Performance St<strong>and</strong>ard for Each <strong>of</strong> the Age Groups: The level <strong>of</strong><br />
improvement must result in at least a 10% decrease in the difference between the target <strong>and</strong> the<br />
previous year’s results.<br />
<strong>Regional</strong>-Based Statewide Target: TBD<br />
<strong>Regional</strong>-Based Statewide Minimum Performance St<strong>and</strong>ard for Each <strong>of</strong> the Age Groups: TBD<br />
Action Required for Noncompliance (1 year olds): Beginning SFY 2007, if the st<strong>and</strong>ard is not met<br />
<strong>and</strong> the results are below 45% the MCP is required to complete a Corrective Action Plan to address<br />
the area <strong>of</strong> noncompliance. If the st<strong>and</strong>ard is not met <strong>and</strong> the results are at or above 45%, ODJFS<br />
will issue a Quality Improvement Directive which will notify the MCP <strong>of</strong> noncompliance <strong>and</strong> may<br />
outline the steps that the MCP must take to improve the results.<br />
Action Required for Noncompliance (2 year olds): Beginning SFY 2007, if the st<strong>and</strong>ard is not met<br />
<strong>and</strong> the results are below 28% the MCP is required to complete a Corrective Action Plan to address<br />
the area <strong>of</strong> noncompliance. If the st<strong>and</strong>ard is not met <strong>and</strong> the results are at or above 28%, ODJFS<br />
will issue a Quality Improvement Directive which will notify the MCP <strong>of</strong> noncompliance <strong>and</strong> may<br />
outline the steps that the MCP must take to improve the results.<br />
2. ACCESS<br />
Performance in the Access category will be determined by the following measures: Primary Care<br />
<strong>Provider</strong> (PCP) Turnover, Children’s Access to Primary Care, Adults’ Access to<br />
Preventive/Ambulatory Health Services, <strong>and</strong> Members’ Access to Designated PCP. For a<br />
comprehensive description <strong>of</strong> the access performance measures below, see ODJFS Methods for<br />
Access Performance Measures for the CFC Managed Care Program.<br />
2.a. PCP Turnover<br />
A high PCP turnover rate may affect continuity <strong>of</strong> care <strong>and</strong> may signal poor management <strong>of</strong><br />
providers. However, some turnover may be expected when MCPs end contracts with providers who