Health Plan Profile
CMS
Medicaid Reform PSN


Accreditation Status: Not required
Available in Counties: Broward, Duval

2009 Performance Measure Data Submissions for Medicaid Reform

Key Map:

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

 
Quality of Care Indicators
Rating 
Adolescent Well Care
Two checks Out of Three Possible Checks
Adult BMI Assessment
Two checks Out of Three Possible Checks
Adults' Access to Preventive/ Ambulatory Health Services - ages 20-44
Two checks Out of Three Possible Checks
Adults' Access to Preventive/ Ambulatory Health Services - ages 45-64
Square means Not Applicable / Not Available
Adults' Access to Preventive/ Ambulatory Health Services - ages 65+
Square means Not Applicable / Not Available
Adults' Access to Preventive/ Ambulatory Health Services - Total
Two checks Out of Three Possible Checks
Annual Dental Visits - Total
Two checks Out of Three Possible Checks
Antidepressant Medication Management - Effective Acute Phase Treatment
Diamond means Not Measurable / Small Population
Antidepressant Medication Management - Effective Continuation Phase Treatment
Diamond means Not Measurable / Small Population
Breast Cancer Screening
Square means Not Applicable / Not Available
Cervical Cancer Screening
Square means Not Applicable / Not Available
Childhood Immunization Status - Combination 2
Two checks Out of Three Possible Checks
Childhood Immunization Status - Combination 3
Two checks Out of Three Possible Checks
Comprehensive Diabetes - Eye Exam
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - Good Control
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure)
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - HbA1C Testing
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - LDL Screening
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - LDL-C Control
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - Nephropathy
Diamond means Not Measurable / Small Population
Controlling Blood Pressure - Total
Square means Not Applicable / Not Available
Follow-Up after Hospitalization for Mental Illness - 7 Day
Three Checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 30 Day
Three Checks Out of Three Possible Checks
Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance
Diamond means Not Measurable / Small Population
Follow-Up Care for Children Prescribed ADHD Medication - Initiation Phase
Two checks Out of Three Possible Checks
Frequency of HIV Disease Monitoring Lab Tests - CD4
Two checks Out of Three Possible Checks
Frequency of HIV Disease Monitoring Lab Tests - VL
Two checks Out of Three Possible Checks
Highly Active Anti-Retroviral Treatment
Two checks Out of Three Possible Checks
Immunization for Adolescents - Combination 1
Three Checks Out of Three Possible Checks
Lead Screening in Children
Two checks Out of Three Possible Checks
Lipid Profile Annually
Square means Not Applicable / Not Available
Persistence of Beta-Blocker Treatment After a Heart Attack
Square means Not Applicable / Not Available
Prenatal Care
Diamond means Not Measurable / Small Population
Prenatal Care Frequency - Greater than 81% of Visits
Diamond means Not Measurable / Small Population
Postpartum Care
Diamond means Not Measurable / Small Population
Readmission Rate (Inverse Measure)
Two checks Out of Three Possible Checks
Use of Angiotensin-Converting Enzyme (ACE) Inhibitors/ Angiotensin Receptor Blockers (ARB) Therapy
Square means Not Applicable / Not Available
Use of Appropriate Medications for People with Asthma - Total
Two checks Out of Three Possible Checks
Well-Child 0 Visits (Inverse Measure)
Diamond means Not Measurable / Small Population
Well-Child 6+ Visits
Diamond means Not Measurable / Small Population
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life
Two checks Out of Three Possible Checks

2008 Performance Measure Data Submissions for Medicaid Reform

Key Map:

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank

 
Quality of Care Indicators:
Rating
Adults' Access to Preventive/Ambulatory Health Services
Two checks Out of Three Possible Checks
Use of Angiotensin-Converting Enzyme (ACE) Inhibitors/Angiotensin Receptor Blockers (ARB) Therapy
Square means Not Applicable / Not Available
Annual Dental Visits - Total
Two checks Out of Three Possible Checks
Antidepressant Medication Management - Effective Acute Phase Treatment
Diamond means Not Measurable / Small Population
Antidepressant Medication Management - Effective Continuation Phase Treatment
Diamond means Not Measurable / Small Population
Use of Appropriate Medications for People with Asthma - Total
Two checks Out of Three Possible Checks
Use of Appropriate Medications for People with Asthma in DM - Total
Two checks Out of Three Possible Checks
Adolescent Well Care
Two checks Out of Three Possible Checks
Breast Cancer Screening
Square means Not Applicable / Not Available
Controlling Blood Pressure - Total
Square means Not Applicable / Not Available
Cervical Cancer Screening
Square means Not Applicable / Not Available
Comprehensive Diabetes - HbA1C Testing
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure)
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - Good Control
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - Eye Exam
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - LDL Screening
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - LDL-C Control
Diamond means Not Measurable / Small Population
Comprehensive Diabetes - Nephropathy
Diamond means Not Measurable / Small Population
Childhood Immunization Status - Combination 2
Three Checks Out of Three Possible Checks
Childhood Immunization Status - Combination 3
Three Checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 7 Day
Two checks Out of Three Possible Checks
Follow-Up after Hospitalization for Mental Illness - 30 Day
Three Checks Out of Three Possible Checks
Frequency of Ongoing Prenatal Care - Greater than 81% of Visits
Diamond means Not Measurable / Small Population
Lipid Profile Annually
Square means Not Applicable / Not Available
Lead Screening in Children
Two checks Out of Three Possible Checks
Prenatal Care
Diamond means Not Measurable / Small Population
Postpartum Care
Diamond means Not Measurable / Small Population
Mental Health Readmission Rate
Two checks Out of Three Possible Checks
Use of Beta Agonist
Two checks Out of Three Possible Checks
Well-Child 0 Visits (Inverse Measure)
Diamond means Not Measurable / Small Population
Well-Child 6+ Visits
Diamond means Not Measurable / Small Population
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life
Two checks Out of Three Possible Checks


2007 Performance Measure Data Submissions for Medicaid Reform

Key Map:

Diamond Means Not Measureable/Small Population Not Measurable/Small Population - Triangle Means Not Reported Not Reported - Square Means Not Applicable/Not Available Not Applicable/Not Available
One Checkmark Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

 
Quality of Care Indicators:
Rating
Annual Dental Visits
Three Checks Out of Three Possible Checks
Adolescent Well Care Two checks Out of Three Possible Checks
Controlling Blood Pressure - Total Square Means Not Applicable/Not Available
Comprehensive Diabetes - HbA1C Testing Square Means Not Applicable/Not Available
Cervical Cancer Screening Square Means Not Applicable/Not Available
Comprehensive Diabetes - HbA1C Poor Control (Inverse Measure) Square Means Not Applicable/Not Available
Comprehensive Diabetes - Good Control Square Means Not Applicable/Not Available
Comprehensive Diabetes - Eye Exam Square Means Not Applicable/Not Available
Comprehensive Diabetes - LDL Screening Square Means Not Applicable/Not Available
Comprehensive Diabetes - LDL-C Control Square Means Not Applicable/Not Available
Comprehensive Diabetes - Nephropathy Square Means Not Applicable/Not Available
Follow-Up after Hospitalization for Mental Illness - 7 Day Diamond Means Not Measureable/Small Population
Follow-Up after Hospitalization for Mental Illness - 30 Day Diamond Means Not Measureable/Small Population
Prenatal Care Diamond Means Not Measureable/Small Population
Postpartum Care Diamond Means Not Measureable/Small Population
Use of Beta Agonist Three Checks Out of Three Possible Checks
Well-Child 0 Visits (Inverse Measure) Diamond Means Not Measureable/Small Population
Well-Child 6+ Visits Diamond Means Not Measureable/Small Population
Well-Child Visits in the 3rd, 4th, 5th, & 6th Years of Life Two checks Out of Three Possible Checks

For more information on Florida Medicaid Quality in Managed Care, please contact:

qualityinmc@ahca.myflorida.com




Reporting Medicaid Fraud