Ongoing Measure. A progress report that identifies the outcome of the proposed workplan identified above. The progress report shall be submitted and approved by the Department on a quarterly basis and shall address activities completed during the reporting period. The plan shall be required to address specific issues, problems and how the plan resolved such issues, and to report transfer activity on a quarterly basis. The Department shall evaluate the plan's understanding of the requirement and how well the plan has incorporated the requirement into its daily operations.
Ongoing Measure. A progress report that identifies the outcome of the proposed workplan identified above. The progress report shall be submitted and approved by the Department on a quarterly basis and shall address activities completed during the reporting period. The plan should also include information on the service utilization, member services/case management, and any measurable data on the effect of the plan's outreach/provision of services on the outcome of the pregnancy. The plan shall be required to address specific issues, problems and how the plan resolved such issues in the quarterly report. The Department shall evaluate the plan's understanding of the requirement and how well the plan has incorporated the requirement into its daily operations.
Ongoing Measure. A progress report that identifies the outcome of the proposed workplan identified above. The progress report shall be submitted and approved by the Department on a quarterly basis and shall address activities completed during the reporting period. The plan shall be required to address specific issues, problems and how the plan resolved such issues. The plan shall report the number of calls received from clients or providers with issues related to this requirement. The Department shall evaluate the plan's understanding of the requirement and how well the plan has incorporated the requirement into its daily operations, both in care management and claims payment. The plan shall be required to report hospitalization-related activities in the quarterly report.
Ongoing Measure. A progress report that identifies the outcome of the proposed workplan identified above. The progress report shall be submitted and approved by the Department on a quarterly basis and shall address activities completed during the reporting period. The plan shall be required to address specific issues, problems and how the plan resolved such issues. The plan shall report the number of calls received from clients who are attempting to verify enrollment with the plan, as well as the number of times the providers report that client's are not providing proper verification at the time of service delivery. The Department shall evaluate the plan's understanding of the requirement and how well the plan has incorporated the requirement into its daily operations. The Department shall evaluate the plan's ability to provide the necessary resources to utilize the enrollment file layout and make the information available in a timely manner, given the Department's production schedule. The workplan shall address problems related to the enrollment file layout, and the plan's ability to resolve these problems effectively and in a timely manner.
