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82 and education activities.
Performance goals: 4.1 Ensure that varieties of entities experienced in working with targeted low-income populations are eligible to assist families with enrollment. 4.2 Ensure that a variety of entities experienced in working with targeted low-income populations conduct outreach/education and have input in the development of culturally and linguistically appropriate outreach and enrollment materials.
Proposed measures: DHCS requires the outreach/education contractor to allocate a percentage of resources to fund the participation of community-based organizations in the state’s outreach efforts, and requires the contractor to document their participation.
Objective 5: Encourage the inclusion of traditional and safety net providers in health plan networks.
Performance goals: 5.1 Achieve increases in the number of children enrolled in health coverage who have access to a provider located within their zip code.
5.2 Achieve increases in the number of children who have access to traditional and safety net providers as defined by Health Resources and Services Administration’s Federally Qualified Health Center Look-Alike Program.
Proposed measures: DHCS requires participating plans to report annually on the number of subscribers selecting traditional and safety net providers.
Objective 6: Assure that enrolled children with significant health needs receive access to appropriate care.
Performance goals: 6.1 Based on DHCS’ External Accountability Set Measures for Children and Adolescents Access to Primary Care Physicians (CAP-CH), achieve year-to-year maintenance and/or improvements in the percentage of children with special health care needs with a source of coverage for primary care and specialty care. 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.
6.2 Ensure that children with special health care needs experience no break in coverage/services as they access specialized services.