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

Appendix O
Covered Families and Children (CFC) population
Page 4
receiving additional P4P. The maximum additional amount to be awarded per plan, per program,
per contract year is $250,000. An MCP may receive up to $500,000 should both of the MCP’s
ABD and CFC programs achieve the Superior Performance Levels.
2. SFY 2008 P4P
2.a. Qualifying Performance Levels
To qualify for consideration of the SFY 2008 P4P, an MCP’s performance level must meet the
minimum performance standards set in Appendix M, Performance Evaluation, for the measures
listed below. A detailed description of the methodologies for each measure can be found on the
BMHC page of the ODJFS website.
Measures for which the minimum performance standard for SFY 2008 established in Appendix
M, Performance Evaluation, must be met to qualify for consideration of P4P are as follows:
1. PCP Turnover (Appendix M, Section 2.a.)
Report Period: CY 2007
2. Children’s Access to Primary Care (Appendix M, Section 2.b.)
Report Period: CY 2007
3. Adults’ Access to Preventive/Ambulatory Health Services (Appendix M, Section 2.c.)
Report Period: CY 2007
4. Overall Satisfaction with MCP (Appendix M, Section 3.)
Report Period: The most recent consumer satisfaction survey completed prior to the end
of the SFY2008.
For each clinical performance measure listed below, the MCP must meet the P4P standard to be
considered for SFY 2008 P4P. The MCP meets the P4P standard if one of two criteria are met.
The P4P standard is a performance level of either:
1) The minimum performance standard established in Appendix M, Performance Evaluation, for
seven of the nine clinical performance measures listed below; or
2) The Medicaid benchmarks for seven of the nine clinical performance measures listed below.
The Medicaid benchmarks are subject to change based on the revision or update of applicable
national standards, methods or benchmarks.