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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: more visits.
six well care visits will exceed the Medicaid HEDIS 50th percentile available at the time of HEDIS report submission (July of each year). 9.1.7 Well-Child Visits, ages 3- 6 years The rate at which children 3-6 years of age receive at least one preventive exam will exceed the HEDIS 50th percentile at the time of HEDIS report submission (July of each year. HEDIS (W34) for children 3-6 years of age
9.3. Describe how performance under the plan will be measured through objective, independently verifiable means and compared against performance goals in order to determine the state’s performance, taking into account suggested performance indicators as specified below or other indicators the state develops: (Section 2107(a) (4) (A), (B)) (42CFR 457.710(d))
See Chart above.
Check the applicable suggested performance measurements listed below that the state plans to use: (Section 2107(a) (4)) 9.3.1.
The increase in the percentage of Medicaid-eligible children enrolled in Medicaid. 9.3.2.
The reduction in the percentage of uninsured children. 9.3.3.
The increase in the percentage of children with a usual source of care. 9.3.4.
The extent to which outcome measures show progress on one or more of the health problems identified by the state. 9.3.5.
HEDIS Measurement Set relevant to children and adolescents younger than 19. 9.3.6.
Other child appropriate measurement set. List or describe the set used. Milliman EBM for adolescengs aged 7-11, similar to HEDIS measures for other age ranges, to fill the age gap not included in HEDIS measurement set. 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: