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STATE CHILD HEALTH PLAN UNDER TITLE XXI OF THE SOCIAL SECURITY ACT

STATE: Virginia Page 9-62

Effective Date: 07/01/05

62 Approval Date: _____________/06

Performance Goal Measurement Strategy Increase the number of Medicaid eligible children enrolled in Medicaid Data from the Central Processing Unit and DSS; DMAS enrollment data Enroll 61,200 children in Title XXI: FAMIS (and Medicaid Expansion )by the close of FFY2004 DMAS enrollment data Reduce the percentage of uninsured children Health access survey

Strategic Objective Two “To Improve the Health Status of Children” This objective encompasses three performance goals. The first goal is to “Increase the number of children with a usual source of care.” A usual source of care is critical to meeting the ongoing health needs of children in allowing for continuity of services. Most children in FAMIS will be enrolled in the Managed Care Organization Program, facilitating the establishment of a medical home and accountability for the quality of care.

The second goal is to “Increase the percentage of children who receive immunizations.” Performance is measured via an annual clinical focus study performed by an external quality review organization that utilizes DMAS data and medical chart review to estimate the percentage of children who are fully immunized. The Virginia SCHIP’s aggregate compliance rate for each of the selected individual immunizations is presented immediately below (Delmarva Foundation for Medical Care, Inc., 2003):

DTP OPV MMR HIb HBV VZV 4:3:1 88.9% 92.3% 92.3% 88.0% 96.6% 90.6% 86.3%

The statewide results demonstrate that FAMIS care providers have performed well in meeting their obligations to provide vaccines to children in Virginia. The compliance level was well above 85% for all indicators.

The third Goal is to “Increase the number of children receiving appropriate well-child care.” The Measurement Strategy is to perform a clinical focus study to estimate the number of children receiving appropriate well-child care. The study will focus on office-based visits. DMAS well- child care data may be used for comparison purposes. Administrative data may be supplemented by medical chart review.

Strategic Objective Two -- To Improve the Health Status of Children: