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Application for the State of Indiana Children’s Health Insurance Program Amendment #7

Effective Date:

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Approval Date: Section 9 Strategic Objectives and Performance Goals and Plan Administration (Section 2107)

9.1. Describe strategic objectives for increasing the extent of creditable health coverage among targeted low-income children and other low-income children: (Section 2107(a) (2)) (42CFR 457.710(b))

See Chart below.

9.2. Specify one or more performance goals for each strategic objective identified: (Section 2107(a) (3)) (42CFR 457.710(c))

See Chart below.

9.1 Strategic Objective

9.2 Performance Goal

9.3 Objective Means of Measuring Performance 9.1.1 Reduce Uninsured Previously uninsured low- income children will have health insurance through Indiana’s Title XXI program Maintain state’s uninsured rate for population at or below 200% FPL below the 25th percentile of states nationally US Census CPS 3 year average uninsured rate for children under age 19 at or below 200% FPL 9.1.2 Enrollment Targeted low-income children will have health insurance through Indiana’s Title XXI program Enrollment of approximately 13,500 children between 200% and 300% FPL by 9/30/2012 Hoosier Healthwise enrollment in the 200-300% FPL bracket 9.1.3 Access to Care Children enrolled in Indiana’s Title XXI Program will have access to appropriate behavioral health care The rate at which children prescribed ADHD medication will have the appropriate follow up visits with a behavioral health provider will exceed the HEDIS 50th percentile for Medicaid HEDIS measure for follow up care for ADHD medications (ADD), initiation phase 9.1.4 Preventive Care Immunizations-children will receive the recommended immunizations The rate at which children receive immunizations will exceed the Medicaid HEDIS 50th percentile available at the time of HEDIS Report Submission (July of each year) HEDIS (CIS), Combo Three 9.1.5 Adolescent well care Adolescents aged 12-21 will receive recommended well care visits The rate at which adolescents aged 12-21 will receive the recommended well care visits will exceed the Medicaid HEDIS 50th percentile available at the time of HEDIS report submission (July of each year) HEDIS (AWS) for ages 12-21 years 9.1.6 Well-Child Visits First 15 months of life, six or The rate at which children 0-15 months of age receive at least HEDIS (W15) for children ages 0-15 months