Common use of Overarching Goal C Clause in Contracts

Overarching Goal C. Sub Goals: Goal 1: Improve Access to Primary Care Services for Members 90% of initial credentialing of PCPs will be finalized within 75 days of receipt of application. The percentage of Family Practitioners with open panels will increase by four percentage points over baseline. Goal 2: Improve Access to Behavioral Health Services for Members 73% of Behavioral Health Providers will demonstrate Urgent Care Appointment Availability within 24 hours. 91% of Behavioral Health Providers will demonstrate Routine Care Appointment Availability within 10 days. Goal 3: Increase Utilization of New Member Medical Check-Ups within 90 days of Enrollment 90% of new members will receive a reminder/insert in the new member packets to remind members to schedule a new patient check-up. 100% of new members with working phone numbers and with default or no PCP will have a new PCP assignment within 60 days of enrollment. Texas Health and Human Services Commission HMO Performance Improvement Goal Template for State Fiscal Year 2008 (September 1, 2007 – August 31, 2008)

Overarching Goal C. Sub Goals: Goal 1: Improve Access to Primary Care Services for Members 90% of initial credentialing of PCPs will be finalized within 75 days of receipt of application. The percentage of Family Practitioners with open panels will increase by four percentage points over baseline. Goal 2: Improve Access to Behavioral Health Services for Members 7343% of Behavioral Health Providers will demonstrate Urgent Care Appointment Availability within 24 hours. 9159% of Behavioral Health Providers will demonstrate Routine Care Appointment Availability within 10 days. Goal 3: Increase Utilization of New Member Medical Check-Ups within 90 days of Enrollment 90% of new members will receive a reminder/insert in the new member packets to remind members to schedule a new patient check-up. 100% of new members with working phone numbers and with default or no PCP will have a new PCP assignment within 60 days of enrollment. Texas Health and Human Services Commission HMO Performance Improvement Goal Template for State Fiscal Year 2008 (September 1, 2007 – August 31, 2008)

Overarching Goal C. Sub Goals: Goal 1: Improve Access to Primary Care Services for Members 90% of initial credentialing of PCPs will be finalized within 75 days of receipt of application. The percentage of Family Practitioners with open panels will increase by four 10 percentage points over baseline. Goal 2: Improve Access to Behavioral Health Services for Members 73% of Behavioral Health Providers will demonstrate Urgent Care Appointment Availability within 24 hours. 91% of Behavioral Health Providers will demonstrate Routine Care Appointment Availability within 10 days. Goal 3: Increase Utilization of New Member Medical Check-Ups within 90 days of Enrollment 90% of new members will receive a reminder/insert in the new member packets to remind members to schedule a new patient check-up. 100% of new members with working phone numbers and with default or no PCP will have a new PCP assignment within 60 days of enrollment. Texas Health and Human Services Commission HMO Performance Improvement Goal Template for State Fiscal Year 2008 (September 1, 2007 – August 31, 2008)