Ahca.myflorida.com



Revised Performance Measures: Managed Medical Assistance PlansMMA managed care plans must collect and report on the specific measures listed in the SMMC MMA Performance Measure Table. (Attachment II, Exhibit II-A, Section VII.B.1.a.) Managed Medical Assistance (MMA) plans (including the HIV/AIDS and Serious Mental Illness specialty plans) must use the revised SMMC Performance Measure Table below beginning with the July, 1, 2018 reporting. HEDIS1Adolescent Well-Care Visits - (AWC)2Adults' Access to Preventive/Ambulatory Health Services - (AAP)3Annual Dental Visits - (ADV)4Antidepressant Medication Management - (AMM)5Adult BMI Assessment – (ABA)6Breast Cancer Screening – (BCS) 7Cervical Cancer Screening – (CCS) 8Childhood Immunization Status – (CIS) – Combo 2 and Combo 39Comprehensive Diabetes Care – (CDC) · Hemoglobin A1c (HbA1c) testing· HbA1c poor control· HbA1c control (<8%)· Eye exam (retinal) performed· Medical attention for nephropathy10Controlling High Blood Pressure – (CBP) 11Follow-up Care for Children Prescribed ADHD Medication – (ADD)12Immunizations for Adolescents – (IMA)13Chlamydia Screening in Women – (CHL)14Prenatal and Postpartum Care – (PPC) 15Medication Management for People with Asthma – (MMA)16Well-Child Visits in the First 15 Months of Life – (W15) 17Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life – (W34)18Children and Adolescents’ Access to Primary Care Practitioners - (CAP)19Initiation and Engagement of Alcohol and Other Drug Dependence Treatment - (IET)20Ambulatory Care - (AMB)21Lead Screening in Children – (LSC)22Annual Monitoring for Patients on Persistent Medications - (MPM)*23 Frequency of Ongoing Prenatal Care - (FPC)*24Adherence to Antipsychotic Medications for Individuals With Schizophrenia – (SAA)25Metabolic Monitoring for Children and Adolescents on Antipsychotics – (APM)26Use of Multiple Concurrent Antipsychotics in Children and Adolescents - (APC)27Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics – (APP)**28Follow-Up After Emergency Department Visit for Mental Illness – (FUM)29Follow-Up After Emergency Department Visit for Alcohol and Other Drug Dependence Treatment – (FUA)30Diabetes Screening for People Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications – (SSD)31Use of Opioids at High Dosage – (UOD)**32Use of Opioids from Multiple Providers – (UOP)**HEDIS & Agency-Defined33 Follow-Up after Hospitalization for Mental Illness – (FHM)Agency-Defined34Mental Health Readmission Rate – (RER)35Transportation Timeliness – (TRT)***36Transportation Availability – (TRA)***37Highly Active Anti-Retroviral Treatment – (HAART)***38HIV-Related Outpatient Medical Visits – (HIVV)***Child Core Set39Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk – (SEAL)40Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Body Mass Index Assessment for Children/Adolescents – (WCC)41Contraceptive Care – Postpartum Women Ages 15-20 - (CCP-CH)**Adult Core Set42Plan All-Cause Readmissions - (PCR)43 HIV Viral Load Suppression - (VLS)44Medical Assistance with Smoking and Tobacco Use Cessation – (MSC)45Contraceptive Care – Postpartum Women Ages 21-44 – (CCP-AD)***If the National Committee for Quality Assurance retires this measure as part of their October HEDIS 2018 update, it will no longer be required by the Agency for July 1, 2018 reporting.**These performance measures are required by the Agency for July 1, 2018 reporting. The Agency will not assess liquidated damages for the first year of reporting.***These performance measures will no longer be required by the Agency for July 1, 2018 reporting.Revised Performance Measures: Children’s Medical Services PlanThe Children’s Medical Services (CMS) plan must collect and report on the specific measures listed in the SMMC CMS Performance Measure Table. (Attachment I, Section VII.B.1.b.) The CMS plan must use the revised SMMC Performance Measure Table below beginning with the July 1, 2018 reporting. HEDIS1Adolescent Well-Care Visits - (AWC)2Annual Dental Visit - (ADV)3Antidepressant Medication Management – (AMM)4Adult BMI Assessment – (ABA)5Childhood Immunization Status – (CIS) – Combo 2 and Combo 36Comprehensive Diabetes Care – (CDC)Hemoglobin A1c (HbA1c) testingHbA1c poor controlHbA1c control (<8%)Eye exam (retinal) performedMedical attention for nephropathy7Follow-up Care for Children Prescribed ADHD Medication – (ADD)8Immunizations for Adolescents – (IMA)9Chlamydia Screening in Women – (CHL)10Prenatal and Postpartum Care – (PPC) 11Medication Management for People With Asthma – (MMA) 12Well-Child Visits in the First 15 Months of Life – (W15) 13Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life – (W34)14Children and Adolescents’ Access to Primary Care Practitioners - (CAP)15Initiation and Engagement of Alcohol and Other Drug Dependence Treatment – (IET)16Ambulatory Care - (AMB)17Lead Screening in Children – (LSC)18Annual Monitoring for Patients on Persistent Medications – (MPM)*19Frequency of Ongoing Prenatal Care - (FPC)*20Use of Multiple Concurrent Antipsychotics in Children and Adolescents – (APC)21Metabolic Monitoring for Children and Adolescents on Antipsychotics – (APM)22Follow-Up After Emergency Department Visit for Mental Illness – (FUM)23Follow-Up After Emergency Department Visit for Alcohol and Other Drug Dependence Treatment -- (FUA)24Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications – (SSD)25Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics – (APP)**Agency-Defined26Mental Health Readmission Rate – (RER)27Transportation Timeliness (TRT)***28Transportation Availability (TRA)***29Highly Active Anti-Retroviral Treatment – (HAART)***30HIV-Related Outpatient Medical Visits – (HIVV)***HEDIS & Agency-Defined31Follow-Up after Hospitalization for Mental Illness – (FHM)Child Core Set32Dental Sealants for 6-9 Year Old Children at Elevated Caries Risk – (SEAL)33Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Body Mass Index Assessment for Children/Adolescents – (WCC)34Contraceptive Care – Postpartum Women Ages 1 – 20 – (CCP-CH)**Adult Core Set35HIV Viral Load Suppression – (VLS)*If the National Committee for Quality Assurance retires this measure as part of their October HEDIS 2018 update, it will no longer be required by the Agency for July 1, 2018 reporting.**These performance measures are required by the Agency for July 1, 2018 reporting. The Agency will not assess liquidated damages for the first year of reporting.***These performance measures will no longer be required by the Agency for July 1, 2018 reporting.Revised Performance Measures: Chronic Disease Specialty PlanThe Chronic Disease specialty plan must collect and report on the specific measures listed in the SMMC Chronic Disease specialty plan Performance Measure Table. (Attachment II, Exhibit II-C, Section VII.A.1.b.) The Chronic Disease specialty plan must use the revised SMMC Performance Measure Table below beginning with the July 1, 2018 reporting. HEDIS1Adults' Access to Preventive/Ambulatory Health Services – (AAP)2Antidepressant Medication Management – (AMM)3Adult BMI Assessment – (ABA)4Breast Cancer Screening – (BCS) 5Care for Older Adults – (COA)6Comprehensive Diabetes Care – (CDC) Hemoglobin A1c (HbA1c) testingHbA1c poor controlHbA1c control (<8%)Eye exam (retinal) performedMedical attention for nephropathy7Controlling High Blood Pressure – (CBP) 8Initiation and Engagement of Alcohol and Other Drug Dependence Treatment – (IET)9Ambulatory Care – (AMB)10Annual Monitoring for Patients on Persistent Medications – (MPM)*11Use of Opioids at High Dosage – (UOD)**12Use of Opioids from Multiple Providers – (UOP)**HEDIS & Agency-Defined13 Follow-Up after Hospitalization for Mental Illness – (FHM)Agency-Defined14 Mental Health Readmission Rate – (RER)15 Transportation Timeliness – (TRT)***16 Transportation Availability – (TRA)***17 Highly Active Anti-Retroviral Treatment – (HAART)***18 HIV-Related Outpatient Medical Visits – (HIVV)***Adult Core Set19Plan All-Cause Readmissions – (PCR)20 HIV Viral Load Suppression – (VLS)21 Medical Assistance with Smoking and Tobacco Use Cessation – (MSC)*If the National Committee for Quality Assurance retires this measure as part of their October HEDIS 2018 update, it will no longer be required by the Agency for July 1, 2018 reporting.**These performance measures are required by the Agency for July 1, 2018 reporting. The Agency will not assess liquidated damages for the first year of reporting.***These performance measures will no longer be required by the Agency for July 1, 2018 reporting. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download