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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: 35 • Well child visits in the 3rd, 4th, 5th, and 6th years of life. • Use of appropriate medications for children with asthma. • Comprehensive diabetes care (hemoglobin A1c tests). • Children’s access to primary care services.

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 childcare 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.

Table 9.1 (1) Strategic Objectives (2) Performance Goals for each Strategic Objective (3) Performance Measures and Progress (specify data sources, methodology, time period, etc.) Objectives related to Reducing the Number of Uninsured Children To increase the number of children participating in Title XIX and XXI health programs.

The targeted increase in enrollment is 8,000 children annually New/Revised

Continuing X

Data Sources: Enrollment data from the Division of Medicaid AIM system. • Methodology: Annual increase in enrollment of uninsured children in both programs compared to the previous federal fiscal year. • The total number of new uninsured children enrolled in both programs compared to the base number of enrollees as of 9/30/99 • Numerator: Number of enrollees on 9/30/03: 112,678 • Denominator: Number of enrollees on 9/30/99: 54,824 Progress Summary: Idaho achieved its annual target by increasing enrollment an additional 8001 children in FFY03. As of 9/30/03, Idaho has enrolled an additional 57,854 children, more than doubling the number of children covered by Title XIX & Title XXI in the past 4 years. Objectives Related to SCHIP Enrollment To increase the number of children enrolled in the Title XXI. program

The targeted increase in enrollment is 2,000 children annually.

New/Revised

Continuing X

Data Sources: Enrollment data from the Division of Medicaid AIM system • Methodology: Annual increase in enrollment of uninsured children compared to the previous federal fiscal year. • The total number of children enrolled each year. • Numerator: Number of enrollees on 9/30/03: 10,954 • Denominator: Number of enrollees on 9/30/99: 3,735