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. SERVICE SETTING: OUTPATIENT OUTPATIENT CARE ASAM LEVEL I REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Units of Service to be delivered. STANDARD 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: INDICATOR MINIMAL STANDARD 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%.
Appears in 2 contracts
Samples: www.maine.gov, www.maine.gov
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. SERVICE SETTING: OUTPATIENT OUTPATIENT CARE ASAM LEVEL I REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Units of Service to be delivered. STANDARD 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: INDICATOR MINIMAL STANDARD 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%.
Appears in 2 contracts
Samples: www.maine.gov, www.maine.gov
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. SERVICE SETTING: OUTPATIENT OUTPATIENT CARE RESIDENTIAL REHABILITATION RH1 and RH2 (ASAM LEVEL I III.5) REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of service to be delivered. STANDARD Total Program and SAMHS Units are based on an 80% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 90% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 75% Referral in the continuum of care/next medically necessary service = 85% TRACKING ONLY Average Time in Treatment for Completed Clients (Weeks) GAF Improvement Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXXXX. SERVICE SETTING: ADOLESCENT RESIDENTIAL REHABILITATION (ASAM III.5) REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Number of units of service to be delivered. STANDARD Total Program and SAMHS Units are based on an 80% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 90% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 30% Referral in the continuum of care/next medically necessary service = 85% TRACKING ONLY Average time in treatment for Completed Clients (Weeks) Completed Treatment Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXXXX. SERVICE SETTING: EXTENDED CARE (ASAM III.3) REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Number of units of service to be delivered. STANDARD Total Program and SAMHS units are based on a 90% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 85% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 50% Referral in the continuum of care/next medically necessary service = 65% TRACKING ONLY Average Time in Treatment for Completed Clients (Weeks) GAF Improvement Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXXXX. SERVICE SETTING: EMERGENCY SHELTER REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of service to be delivered. STANDARD Total Program and SAMHS Units are based on a 90% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS Program performance must be at or above the minimal level on 2 of the following 2 performance indicators, monitored on a quarterly basis. INDICATOR MINIMAL STANDARD Referral to self help 90% Referral in the Continuum of Care 40% SERVICE SETTING: HALFWAY HOUSE REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of service to be delivered. STANDARD Total Program and SAMHS Units are based on a 90% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS Program performance must be at or above the minimal level on 3 of the following 4 performance indicators, monitored on a quarterly basis: INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 85% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 65% Referral in the continuum of care/next medically necessary service = 75% TRACKING ONLY Average Time in Treatment for Completed Clients (Weeks) GAF Improvement Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXXXX. SETTING: NON-INTENSIVE OUTPATIENT REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of Service to be delivered. STANDARD Total Program and SAMHS Units are based on a 90% minimal annual delivery of units of service. Agencies that exceed 100% of contracted (Reference Form 001) The total 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: INDICATOR MINIMAL STANDARD 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%.are further broken down into:
Appears in 1 contract
Samples: www.maine.gov
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. SERVICE SETTING: OUTPATIENT OUTPATIENT CARE RESIDENTIAL REHABILITATION RH1 and RH2 (ASAM LEVEL I III.5) REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of service to be delivered. STANDARD Total Program and OSA Units are based on an 80% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 90% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 85% Referral in the continuum of care/next medically necessary service = 85% TRACKING ONLY Average Time in Treatment for Completed Clients (Weeks) GAF Improvement Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXX. SERVICE SETTING: ADOLESCENT RESIDENTIAL REHABILITATION (ASAM III.5) REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Number of units of service to be delivered. STANDARD Total Program and OSA Units are based on an 80% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 90% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 85% Referral in the continuum of care/next medically necessary service = 85% TRACKING ONLY Average time in treatment for Completed Clients (Weeks) Completed Treatment Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXX. SERVICE SETTING: EXTENDED CARE (ASAM III.3) REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Number of units of service to be delivered. STANDARD Total Program and OSA units are based on a 90% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 85% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 70% Referral in the continuum of care/next medically necessary service = 65% TRACKING ONLY Average Time in Treatment for Completed Clients (Weeks) GAF Improvement Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXX. SERVICE SETTING: EMERGENCY SHELTER REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of service to be delivered. STANDARD Total Program and OSA Units are based on a 90% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS Program performance must be at or above the minimal level on 2 of the following 2 performance indicators, monitored on a quarterly basis. INDICATOR MINIMAL STANDARD Referral to self help 90% Referral in the Continuum of Care 40% SERVICE SETTING: HALFWAY HOUSE REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICATOR Units of service to be delivered. STANDARD Total Program and OSA Units are based on a 90% minimal standard occupancy rate. (Reference Form 001) REQUIRED EFFECTIVENESS INDICATORS AND MINIMAL STANDARDS Program performance must be at or above the minimal level on 4 of the following 6 performance indicators, monitored on a quarterly basis: INDICATOR Performance Measures: (minimum standards) Reduced Morbidity: Abstinence/drug free prior to discharge = 85% Reduced Morbidity: Reduction of use of primary substance abuse problem = 90% Retention: Completion of Treatment = 75% Referral in the continuum of care/next medically necessary service = 75% TRACKING ONLY Average Time in Treatment for Completed Clients (Weeks) GAF Improvement Conduct follow-up contact (phone, text, email) with client 1x a week for the first 30 days, 2 x a month the following 60 days, 1 x a month for the remainder to the year post treatment episode to assess sustained progress. Maintain a log in client chart to track and determine effectiveness, as this may be requested by XXX. SETTING: NON-INTENSIVE OUTPATIENT REQUIRED EFFICIENCY INDICATORS AND MINIMAL STANDARDS INDICAT OR Units of Service to be delivered. STANDARD Total Program and SAMHS OSA Units are based on a 90% minimal annual delivery of units of service. Agencies that exceed 100% of contracted (Reference Form 001) The total 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: INDICATOR MINIMAL STANDARD 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%.are further broken down into:
Appears in 1 contract
Samples: www.maine.gov
