Core Measures for Payment Sample Clauses

Core Measures for Payment. Measure Data Source 2012 Benchmark Core- 1 Plan All-Cause Readmissions NQF #1768, NCQA (Average Adjusted Probability of Readmission) Claims National benchmark not available Vermont Medicaid Benchmark to be calculated Core- 2 Adolescent Well-Care Visits HEDIS AWC Claims Nat. 90th: 65.45 Nat. 75th: 57.07 Nat. 50th: 47.24 Nat. 25th: 41.72 Core- 3 Cholesterol Management for Patients with Cardiovascular Conditions (LDL-C Screening Only for Year 1) Claims Nat. 90th: 88.84 Nat. 75th: 85.20 Nat. 50th: 82.36 Nat. 25th: 78.44 Core- 4 Follow-Up After Hospitalization for Mental Illness: 7-day NQF #0576, NCQA HEDIS FUH Claims Nat. 90th: 68.79 Nat. 75th: 54.64 Nat. 50th: 43.95 Nat. 25th: 30.91 Core -5 Initiation & Engagement of Alcohol and Other Drug Dependence Treatment a) Initiation, b) Engagement NQF #0004, NCQA HEDIS IET CMMI Claims Nat. 90th: 34.04 Nat. 75th: 29.64 Nat. 50th: 24.75 Nat. 25th: 20.59 Core- 6 Avoidance of Antibiotic Treatment for Adults With Acute Bronchitis NQF #0058, NCQA HEDIS AAB Claims Nat. 90th: 35.45 Nat. 75th: 28.07 Nat. 50th: 22.14 Nat. 25th: 17.93 Core- 7 Chlamydia Screening in Women NQF #0033, NCQA Claims Nat. 90th: 68.81 Nat. 75th: 63.72 Nat. 50th: 57.15 HEDIS CHL Nat. 25th: 50.97 Core- 8 Developmental Screening in First 3 Years of Life NQF#1448 Claims National benchmark not available Vermont Medicaid Benchmark to be calculated Core- 9 Depression Screening by 18 Years of Age NQF#1515 MEASURE NOT TO BE USED IN YEAR 1 Table 2. Core Measures for Reporting # Measure Data Source Core-10 Ambulatory Sensitive Conditions Admissions: COPD or Asthma in Older Adults Claims Core-11 Breast Cancer Screening Claims Core-12 Rate of Hospitalization for Ambulatory Care-Sensitive Conditions: PQI Composite Claims Core-13 Appropriate Testing for Children with Pharyngitis Claims Core-20 Adult BMI Screening and Follow-Up Clinical Core-19 Screening for Clinical Depression and Follow-Up Plan Clinical Core-18 Colorectal Cancer Screening Clinical Core-16 Diabetes Composite (D5) (All-or-Nothing Scoring): Hemoglobin A1c control (<8%), LDL control (<100), Blood Pressure <140/90, Tobacco Non-Use, Aspirin Use Clinical Core-17 Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%) Clinical Core-14 Childhood Immunization Status Clinical Core-15 Pediatric Weight Assessment and Counseling Clinical Core-21 Access to Care Composite Survey Core-22 Communication Composite Survey Core-23 Shared Decision-Making Composite Survey Core-24 Self-Management Support Composite Survey Core-2...
Sample 1
AutoNDA by SimpleDocs

Related to Core Measures for Payment

  • Basis for Payment Payment(s) to Consultant for services performed under this Contract shall be made as follows and shall [not] include payment for reimbursable expenses:

  • PREREQUISITES FOR PAYMENT The following applicable requirements shall be fulfilled in order to establish an employee's eligibility for sick leave benefits.

  • Time for Payment Interconnection Customer must provide the additional Security, in a form and with terms as required by Section 212.4, within 15 days after its receipt of Transmission Provider’s notice under this section. The requirement for additional Security under this section shall be treated as a milestone included in the Interconnection Service Agreement pursuant to Section 212.5.

  • Procedure for Payment Whenever a payment for fractional Rights, Preferred Shares or Common Shares is to be made by the Rights Agent pursuant to this Agreement, the Company will (i) promptly prepare and deliver to the Rights Agent a certificate setting forth in reasonable detail the facts related to such payment and the prices or formulas utilized in calculating such payments; and (ii) provide sufficient monies to the Rights Agent to make such payments. The Rights Agent will be fully protected in relying upon such certificate and will have no duty with respect thereto, and will not be deemed to have knowledge of any payment for fractional Rights, Preferred Shares or Common Shares pursuant to this Agreement unless and until the Rights Agent has received such certificate and sufficient monies.

  • REQUESTS FOR PAYMENT Payments shall be made in accordance with Article I.4 of the Special Conditions.

  • Applications for Payment 9.3.1 At least ten days before the date for each progress payment established in the State- Contractor Agreement, the Contractor shall submit to the Architect an itemized Application for Payment, notarized if required, supported by such data substantiating the Contractor's right to payment as the State or the Architect may require. The application for payment must, at a minimum, reflect retainage and the required waivers of lien and any other support documentation enumerated elsewhere in the Contract Documents.

  • Sole Source as Grounds for Rejection of a Change Order If a Change Order is submitted to Contractor for the purposes of adding a Bulletin to this Contract and said Bulletin designates a Sole Source from which Contractor is required to procure goods or services necessary to perform the Work, which Sole Source has not been designated previously, Contractor shall be entitled to reject the proposed Change Order if the designated Sole Source refuses to provide to Contractor the warranties, bonds, terms or schedule required under the Contract Documents, including any warranty or terms or schedule required by Bulletins referenced in the proposed Change Order. In such event, Contractor shall give written notice to the Owner rejecting the proposed Change Order and, if possible, shall accompany said written notice with a proposal from Contractor for changes or modifications to the Bulletin so as to eliminate the Sole Source designation but to achieve goods or services equal in quality or function. The Owner may then require the Design Professional to revise the subject Bulletin so as to eliminate the designation of the Sole Source by incorporation of Contractor's proposal or otherwise. Upon revision of the Bulletin by the Design Professional and approval thereof by the Owner, the Owner shall again submit to the Contractor a proposed Change Order for the purpose of adding the revised Bulletin to this Contract. If the Owner decides to retain the Sole Source in the Change Order and Contractor cannot acquire the full contractually required warranties from the Sole Source, Contractor shall be held only to the warranty terms and schedule obtainable from the Sole Source.

  • GROUNDS FOR DIVORCE Irreconcilable differences, the irretrievable breakdown of the marriage, and incompatibility of temperament have led to the irremediable breakdown of the marriage with no possibility of reconciliation.

  • Arrangements for Payment of GAG and EAG 57) The Secretary of State shall notify the Company at a date preceding the start of each Academy Financial Year of the GAG and EAG figures in respect of each Academy which, subject to Parliamentary approval, the Secretary of State plans for that Academy Financial Year and of the assumptions and figures on which these are based.

  • Provisional Measures Article 50

Time is Money Join Law Insider Premium to draft better contracts faster.