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Medicaid Performance Measures

last modified 09/25/2017 - 03:47 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.


Focus AreaPerformance Measure
Prevention & ScreeningBreast Cancer Screening

Chlamydia Screening in Women

UtilizationWell 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 CareAnnual Dental Visits

Initiation of Alcohol & Other Drug Dependence Treatment

Engagement of Alcohol & Other Drug Dependence Treatment

 Adults' Access to Preventative/Ambulatory Health Services

Children's & Adolescent's Access to Primary Care Practitioners

 Behavioral Health 

Follow-Up After Hospitalization for Mental Illness - 7 days

Follow-Up After Hospitalization for Mental Illness - 30 days

 Respiratory Conditions

 Medication Management for People with Asthma