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Missouri Application for the State Children’s Health Insurance Program Effective Date: 05/01/2009 Approval Date:

Prior Approval Date: 09/28/2007 - 39A - 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)) (42 CFR 457.710(d)) 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 as measured by the number 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. 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:

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Page 79

Official source

Missouri Application for the State Children’s Health Insurance Program Effective Date: 05/01/2009 Approval Date:

Prior Approval Date: 09/28/2007 - 39A - 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)) (42 CFR 457.710(d)) 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 as measured by the number 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. 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: