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State Children’s Health Insurance Program

Phase 1 Effective Date: April 1, 1998

Revised: 1/26/98, 2/19/98, 3/3/98, 3/6/98 Phase 2 Effective Date: July 1, 1998

Revised: 8/20/98, 8/24/98, 10/1/99, 7/28/00, 1/31/01, 7/02/02, 7/22/02, 1/3/03, 2/13/04, 9/27/04, 11/15/04, 8/11/05, 10/1/06, 7/1/09, 7/1/10, 7/1/11, 7/1/12 111 its findings to measure providers’ performance and the appropriateness of dental care rendered to children. Since MediKids enrollees will receive the same dental benefits as Medicaid beneficiaries, this information will also be available for the MediKids program. Healthy Kids A variety of encounter data are collected from the participating health plans and its dental insurers. This information is crucial to the ongoing evaluation and monitoring of the FHKC program. A quarterly file is prepared by each participating health and dental plan. The file reflects claims and encounters entered during the quarter and are delivered to FHKC’s contracted evaluators, ICHP. The required data fields are subject to change in order to meet the program’s needs and to adapt to changes in technology and health care. Other Information will be obtained from existing databases, the sources of information described earlier, focus groups and surveys. Additional data can also be collected from health and dental plans, the Florida Medicaid program and focus groups. Surveys will be conducted for children currently enrolled in the Florida KidCare program and children who disenroll from the program. 9.3.7.  If not utilizing the entire HEDIS Measurement Set, specify which measures will be collected, such as: 9.3.7.1.  Immunizations 9.3.7.2.  Well child care 9.3.7.3.  Adolescent well visits 9.3.7.4.  Satisfaction with care 9.3.7.5.  Mental health 9.3.7.6.  Dental care 9.3.7.7.  Other, please list: 9.3.8.  Performance measures for special targeted populations. 9.4.  The state assures it will collect all data, maintain records and furnish reports to the Secretary at the times and in the standardized format that the Secretary requires. (Section 2107(b)(1)) (42CFR 457.720)