Medicaid Performance Measures
last modified 11/02/2016 - 03:06 PM
Performance measures show how a program is doing. The Department of Vermont Health Access (DVHA) runs many measure sets to see how well Medicaid is working.
In 2005, the Legislature approved Vermont to participate in the Global Commitment Waiver. The waiver gives the DVHA the ability to be more flexible in the way it spends Medicaid dollars. The waiver changed the structure of State government. The DVHA is now the only Medicaid Office in the country operating as a managed care model.
The State believes that the use of a managed care model will allow Vermont to:
· Purchase the best value health care;
· Improve access to services;
· Protect from substandard care.
The Agency of Human Services requires the DVHA to run a set of Global Commitment Measures to show how the waiver is doing. AHS also requires that an external quality review organization confirm that these measures have been run correctly.
Click on the measure name to see the results.
GLOBAL COMMITTMENT WAIVER MEASURES
|Focus Area||Performance Measure|
|Prevention & Screening||Breast Cancer Screening|
|Utilization||Well Child Visits in the First 15 Months of Life|
|Well Child Visits in the 3rd, 4th, 5th & 6th Year of Life|
|Adolescent Well-Care Visits|
|Emergency Room Use|
|Access/Availability of Care||Annual Dental Visits|
|Initiation & Engagement of Alcohol & Other Drug Dependence Treatment|
|Adult's Access to Preventative/Ambulatory Health Services|
|Children's & Adolescent's Access to Primary Care Practitioners|
|Behavioral Health||Follow-Up After Hospitalization for Mental Illness|
|Asthma Medication Management|
|Controlling High Blood Pressure|