Common use of Adults’ Access to Preventive Clause in Contracts

Adults’ Access to Preventive. Ambulatory Health Services This measure indicates whether adult members are accessing health services. Measure: The percentage of members who had an ambulatory or preventive-care visit. Statewide Approach: MCPs will be evaluated using a statewide result, including all regions in which an MCP has membership. ODJFS will use the first calendar year of ABD managed care program membership as the baseline year (i.e., CY2007). The baseline year will be used to determine a minimum statewide performance standard. An MCP’s second calendar year of ABD managed care program membership (i.e., CY2008) will be the initial report period of evaluation, and penalties will be applied for noncompliance.

Adults’ Access to Preventive. Ambulatory Health Services This measure indicates whether adult members are accessing health services. Measure: The percentage of members age 21 and older who had an ambulatory or preventive-care visit. Statewide Approach: MCPs will be evaluated using a statewide result, including all regions in which an MCP has membership. ODJFS will use the first calendar year of ABD managed care program membership as the baseline year (i.e., CY2007). The baseline year will be used to determine a minimum statewide performance standard. An MCP’s second calendar year of ABD managed care program membership (i.e., CY2008) will be the initial report period of evaluation, and penalties will be applied for noncompliance.