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5) Number of HbA1c tests for diabetics. 6) Number of primary care visits for children with diabetes. 7) Emergency room visits for children with diabetes. 8) Hospitalizations for children with diabetes.

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))

The strategic objectives and accompanying performance goals have been initiated based on the desire of Tennessee to plan, implement and administer a successful SCHIP program. In order to be successful in the early years of the program specific attention has been focused on program outreach, enrollment, access and health care outcomes. The CoverKids program will contract with an independent evaluator to assist with evaluation of the performance goals and strategic objectives. The evaluator’s responsibilities will include establishing baseline levels and collecting and analyzing data for each goal. In order to effectuate the evaluation of the performance goals, data from the following sources will be utilized:

• Information on outreach strategies from the program outreach/marketing vendor. • Application and enrollment data from the program enrollment vendor. • Data on the provider population from the program insurance vendor. • Claims and encounter data from the program insurance vendor and the state’s decision support system (claims data warehouse). • Consumer surveys focusing on overall program satisfaction and utilization.

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

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