Common use of PERFORMANCE GUIDELINES Clause in Contracts

PERFORMANCE GUIDELINES. The Office of Substance Abuse and Mental Health Services, in consultation with Provider representatives, has established standards and performance requirements relative to the quantity and quality of client service and care, and to administrative and fiscal management. The standards, as described below, represent the performance goals for client services. Administrative and fiscal management standards and requirements are listed in Rider B, C, D and E. Contracts will be on an expense basis. Allocation of resources for the contract year may be affected by agency performance in the previous year. REPORTING NOTE: Most of the data for performance monitoring is taken directly from the Treatment Data System (TDS). Providers must complete and submit TDS Admission and Discharge data according to policy. For ambulatory services, Outpatient Service Delivery Forms (OSDF) must also be submitted. Performance-based contracting (PBC) reports are based on the data submitted within the specified time parameters. Late entry of data and/or form submittal may result in lower than expected results on the PBC reports. Units of Service to be delivered. Total Program and SAMHS Units are based on a 90% minimal annual delivery of units of service. Agencies that exceed 100% of contracted units of service per quarter will receive an incentive payment of 5% of the quarterly payment. Agencies that do not meet 90% of the contracted service units for the quarter will receive a cut in reimbursement of 5% for that quarter. Program performance must be at or above the minimal level on the following performance indicators (primary clients only), monitored on a quarterly basis: Access to treatment: median time to assessment 5 calendar days Agencies that have median time of more than five days will have their payment reduced by 1% Agencies that have a median time of 2 days or less will receive an incentive payment of 1%. Access to treatment: median time to treatment 14 calendar days Agencies that have a median time between assessment and treatment of greater than 14 calendar days will have their payment reduced by 1%. Agencies that have median time between assessment and treatment of less than seven days will receive an incentive payment of 1%. Treatment Retention: stayed for four sessions minimum standard 50% Agencies that have less than 50% of their clients stay for four or more sessions will have their payment reduced by 1%. Agencies that have greater than 65% of their clients stay for four sessions will receive an incentive payment of 1%. Treatment Retention: stayed for 90 days minimum standard 30% Agencies that have less than 30% of clients retained for 90 days will have their payment reduced by 1%. Agencies that exceed 40% retention of 90 days or more will receive an incentive payment of 1%.

PERFORMANCE GUIDELINES. The Office of Substance Abuse and Mental Health ServicesAbuse, in consultation with Provider representatives, has established standards and performance requirements relative to the quantity and quality of client service and care, and to administrative and fiscal management. The standards, as described below, represent the performance goals for client services. Administrative and fiscal management standards and requirements are listed in Rider B, C, D and E. Contracts will be on an expense basis. Allocation of resources for the contract year may be affected by agency performance in the previous year. REPORTING NOTE: Most of the data for performance monitoring is taken directly from the Treatment Data System (TDS). Providers must complete and submit TDS Admission and Discharge data according to policy. For ambulatory services, Outpatient Service Delivery Forms (OSDF) must also be submitted. Performance-based contracting (PBC) reports are based on the data submitted within the specified time parameters. Late entry of data and/or form submittal may result in lower than expected results on the PBC reports. Units of Service to be delivered. Total Program and SAMHS OSA Units are based on a 90% minimal annual delivery of units of service. Agencies that exceed 100% of contracted units of service per quarter will receive an incentive payment of 5% of the quarterly payment. Agencies that do not meet 90% of the contracted service units for the quarter will receive a cut in reimbursement of 5% for that quarter. Program performance must be at or above the minimal level on the following performance indicators (primary clients only), monitored on a quarterly basis: Access to treatment: median time to assessment 5 calendar days Agencies that have median time of more than five days will have their payment reduced by 1% Agencies that have a median time of 2 days or less will receive an incentive payment of 1%. Access to treatment: median time to treatment 14 calendar days Agencies that have a median time between assessment and treatment of greater than 14 calendar days will have their payment reduced by 1%. Agencies that have median time between assessment and treatment of less than seven days will receive an incentive payment of 1%. Treatment Retention: stayed for four sessions minimum standard 50% Agencies that have less than 50% of their clients stay for four or more sessions will have their payment reduced by 1%. Agencies that have greater than 65% of their clients stay for four sessions will receive an incentive payment of 1%. Treatment Retention: stayed for 90 days minimum standard 30% Agencies that have less than 30% of clients retained for 90 days will have their payment reduced by 1%. Agencies that exceed 40% retention of 90 days or more will receive an incentive payment of 1%.