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.i.)
Excellent and Superior Performance Levels. For qualifying MCPs as determined by Section 1.a.. herein, 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 Members (Appendix M, Section 1.b.i)
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 x.x.xx.) 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 .x.xx.) Report Period: CY 2006 Appendix O Page 6 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%
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. 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.i.)
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 incentives that may be awarded. Excellent and Superior standards are set for the three measures described below. A brief description of these measures are described in Appendix M, Performance Evaluation. A detailed description of the methodologies of each measure can be found on the internet at xxx.xxx.xxxx.xxx/xxx/xxxx/xxxxxxx.xxx
1. Case Management of Children (Appendix M, Section 1.b.iv.) Report Period: July - December 2004 Excellent Standard: 2.5% Superior Standard: 3.8% Appendix O
2. Use of Appropriate Medications for People with Asthma (Appendix M, Section 0.x.xx.) Report Period: CY 2004 Excellent Standard: 53% Superior Standard: 61%
3. Adults’ Access to Preventive/Ambulatory Health Services (Appendix M, Section 2.c.) Report Period: CY 2004 Excellent Standard: 76% Superior Standard: 83%
Excellent and Superior Performance Levels. For qualifying MCPs as determined by Section 1 .a.. herein, 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.
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 incentives that may be awarded. Excellent and Superior standards are set for the three measures described below. A brief description of these measures are described in Appendix M, Performance Evaluation. A detailed description of the methodologies of each measure can be found on the internet at xxx.xxxxx.xx.xx/xxxxx/xxx/xxxx/xxxxxxx.xxx.
1. Case Management of Children (Appendix M, Section 1.b.iv.)
Excellent and Superior Performance Levels. For qualifying MCPs as determined by Section 1.a. of this appendix, performance will be evaluated on the measures listed below to determine the status of the at-risk amount and 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. Appendix O Covered Families and Children (CFC) population
1. Care Management of Children (Appendix M, Section 1.b.i.)
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. 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 l.b.i.) Report Period: July - December 2005 Excellent Standard: 2.5% Superior Standard: 3.8%
2. Use of Appropriate Medications for People with Asthma (Appendix M. Section 1 .x.xx.) Report Period: CY 2005 Excellent. Standard: 59% Superior Standard: 68% 3. Adults' Access to Preventive/Ambulatory Health Services (Appendix M, Section 2.c.) Report Period: CY 2005 Excellent Standard: 76% Superior Standard: 83% MCP's reaching the minimum performance standards described in Section 2.a. will be considered for P4P including retention of the at-risk amount and any additional P4P. For each Excellent standard established in Section 2.b. 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 2.b., additional P4P may be awarded. For MCPs receiving additional P4P, the amount in the P4P fund (see section 3.) will be divided equally, up to the maximum amount, among all MCPs' Aged. Blind or Disabled (ABD) and/or Covered Families and Children (CFC) receiving additional P4P. The maximum amount to be awarded to a single plan P4P additional to the at- Appendix O risk amount is $250,000 per contract year. An MCP may receive up to $500,000 should both of the MCP's ABD and CFC programs achieve the Superior Performance levels.
Excellent and Superior Performance Levels. For qualifying MCPs as determined by Section 1.a.. herein, 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 Members (Appendix M, Section 1.b.i) Report Period: April – June 2009 Excellent Standard: TBD Superior Standard: TBD
2. Comprehensive Diabetes Care (CDC)/Eye exam (Appendix M, Section 1.c.xiv.) Report Period: CY 2008 Excellent Standard: TBD Superior Standard: TBD
3. Adults’ Access to Preventive/Ambulatory Health Services (Appendix M, Section 2.c.) Report Period: CY 2008 Excellent Standard: TBD Superior Standard: TBD
