Prospective Targets

Clean claims processed >x%

Access to care > or = access under HUSKY (child/adult, MH/SA, etc.)

Provide ICM services to X children and adults

Recruit and train full complement of peer engagement specialists by 1/1/06

Provider satisfaction with ASO performance better than X%

Member satisfaction with ASO performance better than X%

Train emergency service providers on provision of family-oriented crisis services, including one module on treating emergencies related to substance abuse

Recruit and train a specialty network of evaluators credentialed to complete a comprehensive, strength-based, family-centered assessment that would be required (at a minimum) for all children and adolescents referred for residential placement

Complete a quality management initiative that focuses on the impact of a recovery and resiliency-based philosophy on satisfaction and service utilization of families

Implement a process to train KidCare providers in effective and evidence-based practices and monitor the impact of those practices on service utilization

A written summary completed and submitted to the Department within five (5 working days in 95 percent of instances when services within the scope of the contract are requested by or on behalf of an enrollee under the age of 18 and no services or clinically appropriate alternatives are available

The ASO shall assure that appropriate treatment services are provided to a minimum of xx percent of persons discharged from residential care within 14 days of discharge date

At least xx percent of persons who are discharged from inpatient care for mental health or residential care for substance abuse will be receiving follow-up care at 30 days following discharge

Requiring completion of the Local Area Development Action Plans within specified time frames

Providing training for families on system of care principles as well as the importance of the philosophy of recovery and resiliency

Providing Intensive Care Management to a designated percentage of high need members

Implementation of WEB based registration and authorization look-up