Consolidated Reporting Requirements. CMS and the Commonwealth shall define and specify in the three-way contract a Consolidated Reporting Process for Participating Plans that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, Enrollee satisfaction and evidence-based measures and other information as may be beneficial in order to monitor each Participating Plan’s performance. Participating Plans will be required to meet the encounter reporting requirements that are established for the Initiative. See Appendix 7 for more detail.
Consolidated Reporting Requirements. CMS and the State shall define and specify in the Three-way Contract a Consolidated Reporting Process for Demonstration Plans that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, Enrollee satisfaction and evidence-based measures, and other information as may be beneficial in order to monitor each Demonstration Plan’s performance. Demonstration Plans will be required to meet the encounter reporting requirements that are established for the Demonstration.
Consolidated Reporting Requirements. CMS and California shall define and specify in the three-way contract a Consolidated Reporting Process for Participating Plans that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, enrollee
Consolidated Reporting Requirements. MSHO Plans will continue to report quality measures and other data as required in their Medicare and Medicaid contracts, including HEDIS, HOS, and CAHPS data. All existing Part D metrics will be collected as well. MSHO Plans will continue to participate in Star quality rating systems. During the Demonstration, CMS and the State will test data-sharing to reduce survey burden on Beneficiaries and the need for duplicative data collection and reporting. See Appendix 4 for more detail.
Consolidated Reporting Requirements. CMS and the State shall define and specify in the Three-way Contract a Consolidated Reporting Process for MMPs that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, Enrollee satisfaction and evidence-based measures, and other information as may be beneficial in order to monitor each MMP’s performance. MMPs will be required to meet the encounter reporting requirements that are established for the Demonstration.
Consolidated Reporting Requirements. CMS and the State shall define and specify in the Three-way Contract a Consolidated Reporting Process for the FIDA-IDD Plan that ensures the provision of the necessary data on diagnosis, HEDIS, and other quality measures, Participant satisfaction and evidence-based measures, and other information as may be beneficial in order to monitor the FIDA-IDD Plan’s performance. The FIDA-IDD Plan will be required to meet the encounter reporting requirements that are established for the Demonstration.
Consolidated Reporting Requirements. CMS and the State shall define and specify in the Three-Way Contract a Consolidated Reporting Process for CICOs that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, Enrollee satisfaction and evidence-based measures, and other information as it may be beneficial to monitor each CICO’s performance. CICOs will be required to meet the encounter reporting requirements that are established for the Demonstration. See Appendix 7 for more detail.
Consolidated Reporting Requirements. CMS and the State shall define and specify in the three-way contract a consolidated reporting process for STAR+PLUS MMPs that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, enrollee satisfaction and evidence-based measures, and other information as may be beneficial in order to monitor each STAR+PLUS MMP’s performance. STAR+PLUS MMPs will be required to meet the encounter reporting requirements that are established for the Demonstration.
Consolidated Reporting Requirements. CMS and DMAS shall define and specify in the three-way contract a Consolidated Reporting Process for Participating Plans that ensures the provision of the necessary data on diagnosis, HEDIS and other quality measures, Enrollee satisfaction and evidence-based measures, and other information as may be beneficial in order to monitor each Participating Plan’s performance. Participating Plans will be required to meet the encounter reporting requirements that are established for the Demonstration.
Consolidated Reporting Requirements. CMS and MDCH shall define and specify in the three-way contract a Consolidated Reporting Process for ICOs that ensures the provision of the necessary data on diagnosis, HEDIS, and other quality measures, enrollee satisfaction and evidence-based measures, and other information as may be beneficial in order to monitor each ICO’s performance. ICOs will be required to meet the encounter reporting requirements that are established for the Demonstration. See Appendix 7 for more detail.
