11-D Health Cnt 2004, CNs 1&2 - Laserfiche WebLink

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PERFORMANCE MEASURES: The following performance measures will be used to assess, in part, PERFORMING AGENCY'S effectiveness in providing the services described in this contract Attachment, without waiving the enforceability of any of the other terms of the contract. PERFORMING AGENCY shall report on: · Screening, referral and PHC eligibility services (PHC-200) · Client intake - new and recertified clients (PHC-200) · Number of PHC eligible clients receiving medical services (PHC-200) · Clients served by month (PHC-200) · Cost and type of services provided (PHC-200) · Client demographic data (PHC-300) (annual) PERFORMING AGENCY shall report quality measures on the: · Clinical Process = Outcome Measures report (PHC-301) · Client Satisfaction Survey (PHC-302) (annual) PERFORMING AGENCY shall use the required eligibility system as described in the PHC Handbook or other system designated by RECEIVING AGENCY as the initial step. CO-PAY PERFORMING AGENCY may assess co-pay from clients provided services by RECEIVING AGENCY under this Attachment. A co-pay assessment may not exceed 25% of the amount RECEIVING AGENCY pays PERFORMING AGENCY for the provision of a given service. A client shall not be denied services due to inability to pay. Local Health Departments shall comply with RECEIVING AGENCY fee collection policies detailed in 25 TAC § 1.91. PERFORMING AGENCY shall make reasonable efforts to investigate and apply for all other sources of third party funding available to or identified by the patient before submitting claims for allowable costs to RECEIVING AGENCY Program. When each client is enrolled, the client shall be assigned to a specific primary care provider for preventive, episodic and chronic care to foster continuity and efficiency of care. PERFORMING AGENCY shall provide services to clients who live or who receive services in the following county (ies)/area: Lamar. ATTACHMENT - Page 2