Provider P4P Program Requirements. All Provider P4P programs must target improvements in the quality of or access to health care services for HealthChoices members and must not limit the appropriate use of services by members. Quality Performance Program (QPP): a. The PH-MCO is required to develop a QPP using the following mandatory ten (10) HEDIS Quality Measures (per HEDIS® 2014 Technical Specifications, Vol. 2): i. Comprehensive Diabetes Measure: Hemoglobin ▇▇▇ (▇▇▇▇▇) Screening for People with Diabetes ii. Prenatal Care in the First Trimester iii. Frequency of Ongoing Prenatal Care: ≥ 81% of expected visits iv. Postpartum Care v. Adolescent Well-Care Visits vi. Annual Dental Visit (Ages 2 – 21 years) vii. Controlling High Blood Pressure (Ages 18 – 85)
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Sources: Grant Agreement, Grant Agreement