Report Periods. For the SFY 2007 contract period, performance will be evaluated quarterly using the January - March 2007 and April - June 2007 report periods. For the SFY 2008 Appendix L Page 16 contract period, performance will be evaluated quarterly using the July-September 2007, October - December 2007. January - March 2008 and April - June 2008 report periods. Data Qualify Standard: SFY 2007 will be informational only. A minimum rate of 75% of new members with PCP designation by their effective date of enrollment for quarter 1 and quarter 2 of SFY 2008. A minimum rate of 85% of new members w ith PCP designation by their effective date of enrollment for quarter 3 and quarter 4 of SFY 2008. Statewide Approach: MCPs will be evaluated using a statewide result, including all regions in which an MCP has CFC membership. Penalty for noncompliance: If an MCP is noncompliant with the standard, ODJFS will impose a monetary sanction of one-half of one percent the current month's premium payment. Once the MCP is performing at standard levels and violations/deficiencies are resolved to the satisfaction of ODJFS. the money will be refunded. As stipulated in OAC rule 5101:3-26-08.2. each new member must have a designated primary care physician (PCP) prior to their effective date of coverage. Therefore. MCPs are subject to additional corrective action measures under Appendix N, Compliance Assessment System, for failure to meet this requirement.
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Report Periods. For the SFY 2007 contract period, performance will be evaluated quarterly using the January - March 2007 and April - June 2007 report periods. For the SFY 2008 Appendix L Page 16 contract period, performance will be evaluated quarterly using the July-September 2007, October - December 2007. , January - March 2008 and April - June 2008 report periods. Data Qualify Quality Standard: A minimum rate of 65% of new members with PCP designation by their effective date of enrollment for quarter 3 and quarter 4 of SFY 2007 will be informational only2007. A minimum rate of 75% of new members with PCP designation by their effective date of enrollment for quarter 1 and quarter 2 of SFY 2008. A minimum rate of 85% of new members w ith with PCP designation by their effective date of enrollment for quarter 3 and quarter 4 of SFY 2008. Statewide Approach: MCPs will be evaluated using a statewide result, including all regions in which an MCP has CFC ABD membership. An MCP will not be evaluated until the MCP has at least Appendix L 3,000 ABD members statewide who have had at least three months of continuous enrollment during each month of the entire report period. Penalty for noncompliance: If an MCP is noncompliant with the standard, ODJFS will impose a monetary sanction of one-half of one percent the current month's premium payment. Once the MCP is performing at standard levels and violations/deficiencies are resolved to the satisfaction of ODJFS. , the money will be refunded. As stipulated in OAC rule 5101:3-26-08.2. , each new member must have a designated primary care physician (PCP) prior to their effective date of coverage. Therefore. , MCPs are subject to additional corrective action measures under Appendix N, Compliance Assessment System, for failure to meet this requirement.
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