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 O<br />
Covered Families <strong>and</strong> Children (CFC) population<br />
Page 2<br />
2. Children’s Access to Primary Care (Appendix M, Section 2.b.)<br />
Report Period: CY 2006<br />
3. Adults’ Access to Preventive/Ambulatory Health Services (Appendix M, Section 2.c.)<br />
Report Period: CY 2006<br />
4. Overall Satisfaction with MCP (Appendix M, Section 3.)<br />
Report Period: The most recent consumer satisfaction survey completed prior to the end<br />
<strong>of</strong> the SFY 2007 contract period.<br />
For the EDD performance measure, the MCP must meet the P4P st<strong>and</strong>ard for the report period<br />
<strong>of</strong> July - December, 2006 to be considered for SFY 2007 P4P. The MCP meets the P4P st<strong>and</strong>ard<br />
if one <strong>of</strong> two criteria are met. The P4P st<strong>and</strong>ard is a performance level <strong>of</strong> either:<br />
1) The minimum performance st<strong>and</strong>ard established in Appendix M, Section 4.b.; or<br />
2) The Medicaid benchmark <strong>of</strong> a performance level at or below 1.1%.<br />
For each clinical performance measure listed below, the MCP must meet the P4P st<strong>and</strong>ard to be<br />
considered for SFY 2007 P4P. The MCP meets the P4P st<strong>and</strong>ard if one <strong>of</strong> two criteria are met.<br />
The P4P st<strong>and</strong>ard is a performance level <strong>of</strong> either:<br />
1) The minimum performance st<strong>and</strong>ard established in Appendix M, Performance Evaluation, for<br />
seven <strong>of</strong> the nine clinical performance measures listed below; or<br />
2) The Medicaid benchmarks for seven <strong>of</strong> the nine clinical performance measures listed below.<br />
The Medicaid benchmarks are subject to change based on the revision or update <strong>of</strong> applicable<br />
national st<strong>and</strong>ards, methods or benchmarks.<br />
Clinical Performance Measure<br />
Medicaid<br />
Benchmark<br />
1. Perinatal Care - Frequency <strong>of</strong> Ongoing Prenatal Care 42%<br />
2. Perinatal Care - Initiation <strong>of</strong> Prenatal Care 71%<br />
3. Perinatal Care - Postpartum Care 48%<br />
4. Well-Child Visits – Children who turn 15 months old 34%<br />
5. Well-Child Visits - 3, 4, 5, or 6, years old<br />
6. Well-Child Visits - 12 through 21 years old<br />
7. Use <strong>of</strong> Appropriate Medications for People with Asthma<br />
8. Annual Dental Visits<br />
9. Blood Lead – 1 year olds<br />
50%<br />
30%<br />
83%<br />
40%<br />
45%