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Model Application Template for the State Children’s Health Insurance Program
Effective Date:
Approval Date: 51
9.3.3.
The increase in the percentage of children with a usual source of care.
In lieu of a managed care program, NC Health Choice is undertaking an outreach campaign to encourage families to voluntarily select a primary care practitioner. Computer runs of most frequently used providers will help to trigger the initial thrust of the campaign.
9.3.4.
The extent to which outcome measures show progress on one or more of the health problems identified by the state.
Outcomes measures will be assessed by the Provider Task Force and the Division of Public Health to determine progress on identified health problems
9.3.5
HEDIS Measurement Set relevant to children and adolescents younger than 19.(HEDIS-like measures developed for indemnity programs).
NC Health Choice will use the four HEDIS style measures adopted by CMS.
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:
• Asthma measures • Well child screenings
9.3.8.
Performance measures for special targeted populations.