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

Appendix O
Covered Families and Children (CFC) population
Page 3
1.b. Excellent and Superior Performance Levels
For qualifying MCPs as determined by Section 2.a., performance will be evaluated on the
measures below to determine the status of the at-risk amount or any additional P4P that may be
awarded. Excellent and Superior standards are set for the three measures described below. The
standards are subject to change based on the revision or update of applicable national standards,
methods or benchmarks.
A brief description of these measures is provided in Appendix M, Performance Evaluation. A
detailed description of the methodologies for each measure can be found on the BMHC page of
the ODJFS website.
1. Case Management of Children (Appendix M, Section 1.b.ii.)
Report Period: April - June 2007
Excellent Standard: 5.5%
Superior Standard: 6.5%
2. Use of Appropriate Medications for People with Asthma (Appendix M, Section 1.c.vi.)
Report Period: CY 2006
Excellent Standard: 86%
Superior Standard: 88%
3. Adults’ Access to Preventive/Ambulatory Health Services (Appendix M, Section 2.c.)
Report Period: CY 2006
Excellent Standard: 76%
Superior Standard: 83%
1.c. Determining SFY 2007 P4P
MCPs reaching the minimum performance standards described in Section 1.a. herein, will be
considered for P4P including retention of the at-risk amount and any additional P4P. For each
Excellent standard established in Section 1.b. herein, that an MCP meets, one-third of the at-risk
amount may be retained. For MCPs meeting all of the Excellent and Superior standards
established in Section 1.b. herein, additional P4P may be awarded. For MCPs receiving
additional P4P, the amount in the P4P fund (see section 2.) will be divided equally, up to the
maximum additional amount, among all MCPs’ABD and/or CFC programs