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81 services in the languages spoken by the target population.

2.2 Continue to improve an application process that can be completed without an in-person meeting.

Proposed measures: California uses a Single Streamlined Application that is available in English and Spanish in the electronic version, with all threshold languages being available for the paper application.

Objective 3: Assure that health services purchased by the program are accessible to enrolled children by using DHCS Accountability Measures.

Performance goals: 3.1 Based on DHCS’ External Accountability Set Measures for Children and Adolescents Access to Primary Care Physicians (CAP-CH), achieve year-to-year improvements in the percentage of targeted low-income children that have had a visit with a primary care provider during the year.

3.2 Based on DHCS’ External Accountability Set Measures for well-child visits for the third through sixth year of life (W34-CH), achieve year-to-year improvements in the percentage of targeted low-income children that have had well-child examinations at the appropriate intervals for their age.

3.3 Based on DHCS’ External Accountability Set Measures for Childhood Immunization Status (CIS-3) and Immunizations for Adolescents (IMA-CH), achieve year-to-year improvements in the percentage of targeted low-income children who receive required immunizations by age 2 and by age 13.

3.4 Based on the 2017 Child Core Set for Attention Deficit/Hyperactivity Disorder (ADHD); DHCS will utilize the ADD-CH measure to monitor dose adjustment, follow-up visits, support services, ongoing treatment, and potential risks with ongoing treatment.

Proposed measures: California will use DHCS’ External Accountability Set Measures relevant to children’s service accessibility for all health plans participating in the insurance program, and participating health plans will be contractually obligated to participate in annual reporting. California will also use Behavioral health measures – Clinical Depression and Follow-up Plan (CDF) from the 2017 Child Core Set measure to track usage and follow-up care for children with ADHD.

Objective 4: Assure the participation of community-based organizations in outreach