Common use of Withhold Return Scoring for the 2017 Contract Year Clause in Contracts

Withhold Return Scoring for the 2017 Contract Year. The Performance-Based withheld funds will be returned to the MCO for the Contract Year based on the following performance targets and assigned points: Repeat Deficiencies on the MDH QA Examination for MHCP, shall be worth fifteen (15) points. Completion of and submission to STATE of the Care Plan audit in section 7.8.3, following the care planning audit data abstraction protocol developed by the Care Plan audit work group, shall be worth fifteen (15) points; and Initial Health Risk Screening or Assessment. Completion of initial health risk screening or assessments per the formula in section 4.6.3(C) below shall be worth thirty (30) points. Stakeholder Group Reporting. Maintaining a local or regional stakeholders group as required in section 7.4.4, shall be worth fifteen (15) points. The MCO will submit documentation that demonstrates the MCO responds to significant concerns raised by stakeholder group participants. Annual Dental Visit, age 65+, shall be worth fifteen (15) points. The percentage of the MCO’s withheld funds to be returned shall be calculated by summing all earned points, dividing the sum by xxxxxx (90) and converting to a percentage. This percentage is referred to as the Withhold Score. If the STATE determines that any of the performance target measures are not dependable, the measure(s) will be eliminated and the MCO shall be scored based on the remaining performance target measures. All measures in section 4.6.2, except for the Repeat Deficiencies on the MDH QA Examination, will be calculated from: 1) encounter data submitted pursuant to section

Withhold Return Scoring for the 2017 Contract Year. ‌ The Performance-Based withheld funds will be returned to the MCO for the Contract Year based on the following performance targets and assigned points: Repeat Deficiencies on the MDH QA Examination for MHCP, shall be worth fifteen (15) points. Completion of and submission to STATE of the Care Plan audit in section 7.8.3, following the care planning audit data abstraction protocol developed by the Care Plan audit work group, shall be worth fifteen (15) points; and Initial Health Risk Screening or Assessment. Completion of initial health risk screening or assessments per the formula in section 4.6.3(C) below shall be worth thirty (30) points. Stakeholder Group Reporting. Maintaining a local or regional stakeholders group as required in section 7.4.4, shall be worth fifteen (15) points. The MCO will submit documentation that demonstrates the MCO responds to significant concerns raised by stakeholder group participants. Annual Dental Visit, age 65+, shall be worth fifteen (15) points. The percentage of the MCO’s withheld funds to be returned shall be calculated by summing all earned points, dividing the sum by xxxxxx (90) and converting to a percentage. This percentage is referred to as the Withhold Score. If the STATE determines that any of the performance target measures are not dependable, the measure(s) will be eliminated and the MCO shall be scored based on the remaining performance target measures. All measures in section 4.6.2, except for the Repeat Deficiencies on the MDH QA Examination, will be calculated from: 1) encounter data submitted pursuant to section