Common use of Performance Improvement Projects Clause in Contracts

Performance Improvement Projects. Each MCP must conduct performance improvement projects (PIPs), including those specified by ODJFS. PIPs must achieve, through periodic measurements and intervention, significant and sustained improvement in clinical and non-clinical areas which are expected to have a favorable effect on health outcomes and satisfaction. MCPs must adhere to ODJFS PIP content and format specifications. All ODJFS-specified PIPs must be prior-approved by ODJFS. As part of the external quality review organization (EQRO) process, the EQRO will assist MCPs with conducting PIPs by providing technical assistance and will annually validate the PIPs. In addition, the MCP must annually submit to ODJFS the status and results of each PIP. ODJFS will identify the clinical and/or non-clinical study topics for the SFY 20098 Provider Agreement. Initiation of the PIPs will begin in the second year of participation in the ABD Medicaid managed care program. In addition, as noted in Appendix M, if an MCP fails to meet the Minimum Performance Standard for selected Clinical Performance Measures, the MCP will be required to complete a PIP.

Appears in 2 contracts

Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Assistance Provider Agreement (Molina Healthcare Inc)

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Performance Improvement Projects. Each MCP must conduct performance improvement projects (PIPs), including those specified by ODJFS. PIPs must achieve, through periodic measurements and intervention, significant and sustained improvement in clinical and non-clinical areas which are expected to have a favorable effect on health outcomes and satisfaction. MCPs must adhere to ODJFS PIP content and format specifications. All ODJFS-specified PIPs must be prior-approved by ODJFS. As part of the external quality review organization (EQRO) process, the EQRO will assist MCPs with conducting PIPs by providing technical assistance and will annually validate the PIPs. In addition, the MCP must annually submit to ODJFS the status and results of each PIP. ODJFS will identify the clinical and/or non-clinical study topics for the SFY 20098 2009 Provider Agreement. Initiation of the PIPs will begin in the second year of participation in the ABD Medicaid managed care program. In addition, as noted in Appendix M, if an MCP fails to meet the Minimum Performance Standard for selected Clinical Performance Measures, the MCP will be required to complete a PIP.

Appears in 2 contracts

Samples: Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc)

Performance Improvement Projects. Each MCP must conduct performance improvement projects (PIPs), including those specified by ODJFS. PIPs must achieve, through periodic measurements and intervention, significant and sustained improvement in clinical and non-clinical areas which are expected to have a favorable effect on health outcomes and satisfaction. MCPs must adhere to ODJFS PIP content and format specifications. All ODJFS-specified PIPs must be prior-approved by ODJFS. As part of the external quality review organization (EQRO) process, the EQRO will assist MCPs with conducting PIPs by providing technical assistance and will annually validate the PIPs. In addition, the MCP must annually submit to ODJFS the status and results of each PIP. ODJFS will identify the clinical and/or non-clinical study topics for the SFY 20098 SPY 2008 Provider Agreement. Initiation of the PIPs will begin in the second year of participation in the ABD Medicaid managed care program. In addition, as noted in Appendix M, if an MCP fails to meet the Minimum Performance Standard for selected Clinical Performance Measures, the MCP will be required to complete a PIP.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)

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Performance Improvement Projects. Each MCP must conduct performance improvement projects (PIPs), including those specified by ODJFS. PIPs must achieve, through periodic measurements and intervention, significant and sustained improvement in clinical and non-clinical areas which are expected to have a favorable effect on health outcomes and satisfaction. MCPs must adhere to ODJFS PIP content and format specifications. All ODJFS-specified PIPs must be prior-approved by ODJFS. As part of the external quality review organization (EQRO) process, the EQRO will assist MCPs with conducting PIPs by providing technical assistance and will annually validate the PIPs. In addition, the MCP must annually submit to ODJFS the status and results of each PIP. ODJFS will identify the clinical and/or non-clinical study topics for the SFY 20098 2008 Provider Agreement. Initiation of the PIPs will begin in the second year of participation in the ABD Medicaid managed care program. In addition, as noted in Appendix M, if an MCP fails to meet the Minimum Performance Standard for selected Clinical Performance Measures, the MCP will be required to complete a PIP.

Appears in 1 contract

Samples: Molina Healthcare Inc

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