1

Enhance Quality Outcomes

The Need

A primary responsibility of the Department is ensuring the health, wellness, and safety of our members. As such, we must implement quality standards and maintain strict oversight of provider agencies. The Department proposes a series of projects to develop quality frameworks and oversight requirements, resulting in anticipated cost savings, provider accountability, and improved quality outcomes.

  Read The New HCPF ARPA HCBS Interactive Project Outcome Book!  

Image of the cover of the interactive HCPF ARPA HCBS Project Outcome Book
 

 


View

Initiative 8.02 - Provider Oversight

 

Read a more in-depth summary of this project's outcomes

 

Overview of efforts to improve the provider certification process for Medicaid. Lists simplified processes, shared data systems, and reduced staff time as impacts. Includes a photo of a smiling doctor. Project category is “Enhance Quality Outcomes.”

 

Back To Top 

 

Initiative 8.04 -  Pay-for-Performance for PACE
 

Read a more in-depth summary of this project's outcomes

 

Visual overview of a Value-Based Payment (VBP) program for PACE, with test year results and stakeholder input. Shows the project’s progress and ongoing management. Includes a PACE brochure image and project investment category.

 

Back To Top 

 

Initiative 8.05 - Pay-for-Performance for Home Health & HCBS 
 

Read a more in-depth summary of this project's outcomes

 

Infographic on a research project to develop a pay-for-performance model for Medicaid providers. Describes findings and a phased implementation plan. Includes an icon of a clipboard and dollar sign. Investment category is “Enhance Quality Outcomes.”

 

Back To Top 

 

Initiative 8.06 - PACE Licensure 
 

Read a more in-depth summary of this project's outcomes

 

Outlines improvements to oversight of Programs of All-Inclusive Care for the Elderly (PACE). Includes new regulations, an audit tool, and completed pilot audits. Features a photo of older adults smiling and the project category “Enhance Quality Outcomes.”

 

Back To Top 

 

Initiative 8.07 - eConsult To Improve Quality 
 

Read a more in-depth summary of this project's outcomes

 

Summarizes a project focused on cultural competency in Medicaid primary care, with research-based recommendations. Covers future plans to share cultural data with the eConsult system. Includes a photo of a person pushing a wheelchair and references ASL and self-attestation features.

 

Back To Top 

 

Initiative 8.08 - HCBS Provider Quality Dashboards

 

Read a more in-depth summary of this project's outcomes

 

Infographic on public-facing dashboards for measuring provider performance and satisfaction across Medicaid waiver services. Describes the dashboards’ development and future use for policy. Includes a screenshot of a sample dashboard with graphs and charts.

 

Back To Top 

 

Initiative 8.09 - Waiver Quality Expansion

 

Read a more in-depth summary of this project's outcomes

 

Describes surveys conducted to measure satisfaction with waiver services, including case management and children’s experience of care. Includes key stats, future use of results, and a photo of a child with Down syndrome. Project category is “Enhance Quality Outcomes.”

 

Back To Top 

 

Initiative 8.10 - Criminal Justice Partnership 

 

Read a more in-depth summary of this project's outcomes

 

Summary of partnerships with the criminal justice system to improve Medicaid reentry services. Includes input from individuals with lived experience, goals to reduce recidivism, and a silhouette of a person exiting prison gates. Project category: “Enhance Quality Outcomes.”

 

Back To Top 

 

Initiative 8.11 - Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Benefits Training

 

Read a more in-depth summary of this project's outcomes

 

Infographic on training developed for Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefits. Includes five training modules, policy improvements, and a photo of a smiling family with the EPSDT tagline. The project focuses on helping children with special health needs.

 

Back To Top