Numerator. (i) Long-Term Debt, Net of Unamortized Discount and Debt Issuance Costs $ [ ]
(ii) Notes Payable to Banks and Commercial Paper [ ]
(iii) Current Portion of Long-Term Debt [ ] TOTAL $ [ ]
Numerator. Members who were screened for tobacco use at least once during the last two-years and who received tobacco cessation counseling intervention (See Table 11: Codes Used to Identify Tobacco Screening and Cessation Counseling Provided) if identified as a tobacco user.
Numerator. Total number of long-stay residents with a selected target assessment that meets the following condition:
Numerator. The number of people with a disability aged 15–64 years with an employment restriction who used Disability Employment Services (Open Employment).
Numerator. The number of ordinary shares, expressed in ADSs, that United owns in UPC as of the relevant date multiplied by the Average Market Price (as defined below) of such ADSs as of the date of determination; plus
Numerator. Number of participants reporting abstinence at the time of discharge from the recovery residence. Denominator: Total number of participants discharged during the reporting month.
Numerator. (i) Long-Term Debt, Net of Unamortized Discount and Debt Issuance Costs $ 1,835,582 (ii) Notes Payable to Banks and Commercial Paper 0 (iii) Current Portion of Long-Term Debt 250,000 TOTAL $ 2,085,582
Numerator. EBITDA for four fiscal quarter period ending on the Statement Date:
Numerator. Number of adults receiving CSS services who had a therapeutic intervention within seven business days of discharge from a SMHH within reporting period. Services codes are as follows: 90791, H0036-HA, X0000-XX, X0000-XX, H0036-HJ, H0036-HK, H2017, H2017-HQ, H2017-TJ, H0038, H0038-HG, 90832, 90834, 90837, 90839, 90840, 90847, 90847HK, 90853, 90832, 90834, 90837, 90839, and/or 90840. seven calendar from start the day after discharge however if a CMHC provides one of these services the same day as discharge then that will count toward the seven days. (codes as of contract start date, code numbers are subject to change) Denominator: Total number of adult discharges from SMHH or SHA within the reporting period. Data Source: SMHH data, AIMS, contractor of the OTCDF Reported: Quarterly Children and Adolescent Therapeutic Intervention Rate: The percentage of children/adolescents that received therapeutic intervention services (includes more than initial assessment and diagnosis such as Peer Support, Psychosocial individual/group, Community Psychiatric Support and Treatment, Therapy and/or Intake) within thirty (30) calendar days prior to a screen resulting in an inpatient psychiatric admission, excluding PRTF. Numerator: Number of children/adolescents receiving a therapeutic intervention within 30 calendar days prior to a screen resulting in admission within reporting period. Services codes are as follows: 90791, H0036-HA, X0000-XX, X0000-XX, H0036-HJ, H0036-HK, H2017, H2017-HQ, H2017-TJ, H0038, H0038-HG, 90832, 90834, 90837, 90839, 90840, 90847, 90847HK, 90853, 90832, 90834, 90837, 90839, and/or 90840. (codes as of contract start date, code numbers are subject to change) Denominator: Total number of children/adolescents with a screen resulting in an inpatient psychiatric admission, excluding PRTF, within reporting period Data Source: contractor of the Crisis Triage & Screening (CTS), AIMS Reported: Quarterly Adult Medication Appointment Rate: The percentage of adults that had a face-to-face or tele-video appointment to review medication(s) within thirty (30) calendar days of discharge from a SMHH or SHA as utilized by the OTCDF.
Numerator. Number of adults receiving CSS who had a medication appointment to review medication(s) within 30 calendar days of discharge from a SMHH or SHA within reporting period. Service codes are as follows: 90791, 90792, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214 and/or 99215. (codes as of contract start date, code numbers are subject to change) Denominator: All SMHH or SHA discharges that occurred within reporting period Data Source: AIMS, SMHH data, contractor of the OTCDF Reported: Quarterly The CMHC shall report complete and accurate client-level demographic and service encounter data through AIMS for adults and youth with registration values of enrolled target, enrolled non-target, non-enrolled and pending. AIMS reporting shall be reported as dictated by the June 2005, July 2016 AIMS II manual, Updated February 2017. The CMHC shall also report complete and accurate client status through AIMS for adults and youth with registration values of enrolled targeted. The CMHC shall provide Client Status Report (CSR) updates for adults and youth as directed by the June 2005, July 2016 AIMS II manual, Updated February 2017. The CMHC shall report monthly client status updates according to the definitions for the populations specified in the AIMS Manual to KDADS or its contractor. The CMHC shall report all client-level data as specified in the AIMS Manual to KDADS or its contractor by the 15th of the following month. The CMHC will provide the consumer’s Social Security Number (SSN) field via their AIMS transmission file each month. If the SSN is not able to be added to the AIMS transaction, the CMHC will work with KDADS to implement a workaround to provide the data in the interim. See AIMS II Manual, Supplement 3.0. The CMHC will provide via the AIMS transmission one question around military service. AIMS question will be: “Have you ever served in the U.S. military? Yes or No. See AIMS II Manual, Supplement 3.0 The CMHC shall maintain the supporting documentation to verify their AIMS reporting for at least 5 years for inspection by KDADS or an entity designated by KDADS to determine completeness and accuracy. The CMHC will input Payment Source #4 into AIMS for all uninsured clients receiving services provided with funds from this contract. The CMHC shall submit quarterly service/financial reports in the format designated by KDADS. The template and instructions developed by KDADS for this purpose is titled, “CMHC Quarterly Report for CBBHS Funds” (Append...
