Denominator. Total number of hours of authorized agency-based personal care services for Members. “Unfulfilled hours” represent hours of authorized personal care services that were not provided to Members due to both insufficient staffing and categorized as unable to locate and difficult to engage (UTL/DTE). Unfulfilled hours includes no shows and any hours missed due to tardy arrivals. The CONTRACTOR shall provide quarterly reports to HCA, including authorized hours; hours of personal care services provided; and unfulfilled hours. The CONTRACTOR shall categorize and report unfulfilled hours as follows: Insufficient staffing; Members traveling out-of-state or away from where services are delivered; Members/guardians who refused personal care services; Members in a hospital, inpatient setting, or NF; Members who were incarcerated (outside of the suspension period); and Members that are unable to be located (UTL) or difficult to engage (DTE) The quarterly reports shall include an analysis of trends observed. The quarterly reports are due to HCA thirty (30) Calendar Days after the end of each quarter. 10
Appears in 3 contracts
Sources: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement