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7.1.4. Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 Services. Staff answering the toll-free number used by the administrator of the program will speak English and Spanish and have access to translator services for other languages. COUNTY CHILDREN’S HEALTH INSURANCE PROGRAM (C-CHIP) The county LI and COHS will provide to its enrolled members a detailed description of covered benefits, exclusions, and grievance procedures in their Evidence of Coverage (EOC) booklet. Quality improvement strategies All of the approaches described under quality standards, performance measurement, and information strategies will be used by MRMIB to encourage quality improvement by participating plans. This will be done through five strategic approaches. These are: • Keeping up to date on developments in quality improvement, including any indicators that may be developed regarding the high quality medical home; • Feeding back information to plans to help them understand their own performance over time and how they compare to other plans providing services to Healthy Families Program subscribers; • Enforcing of contractual provisions which link quality based measures to plan performance; • Increasing plan performance targets over time; and • Providing quality based information to families. This final approach empowers the consumer to punish or reward plans with enrollment based on the value each family places on the quality standards. COUNTY CHILDREN’S HEALTH INSURANCE PROGRAM (C-CHIP) The volume of children in C-CHIP, coupled with the short term duration of the funding makes it infeasible to set up separate indictors to assess the quality of the services. However, the C-CHIP projects are modeled consistent with the Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers

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