In connection with the evaluation of the DTI required by Section 14184.71, the department’s report of data and quality measures submitted to the federal Centers for Medicare and Medicaid Services (CMS) and made publicly available pursuant to the Special Terms and Conditions for the Increase Preventive Services Utilization for Children domain shall include, but not be limited to, all of the following:
(a) A detailed description of how the department has operationalized the domain, including information identifying which entities have responsibility for the components of the domain.
(b) The number of individual incentives paid and the total amount expended under the domain for the current program year.
(c) An awareness plan that describes all of the following:
(1) How the department has generated awareness of the availability of incentives for providing preventive dental services to children, including steps taken to increase awareness of the DTI among dental and primary care providers.
(2) How the department has generated awareness among beneficiaries of the availability of, the importance of, and how to access preventive dental services for children.
(3) The different approaches to raising awareness undertaken among specific groups, including age groups, rural and urban residents, and primary language groups. These approaches shall be developed in conjunction with interested dental and children’s health stakeholders.
(d) An annual analysis of whether the awareness plan described in subdivision (c) has succeeded in generating the utilization necessary, by subgrouping, to meet the goals of the domain, and a description of changes to the awareness plan needed to address any identified deficiencies.
(e) Data describing both of the following:
(1) The use of, and expenditures on, preventive dental services.
(2) The use of, and expenditures on, other nonpreventive dental services.
(f) A discussion of the extent to which the metrics described for the domain are proving to be useful in understanding the effectiveness of the activities undertaken in the domain.
(g) An analysis of changes in cost per capita.
(h) A descriptive analysis of program integrity challenges generated by the domain and how those challenges have been, or will be, addressed.
(i) A descriptive analysis of the overall effectiveness of the activities in the domain in meeting the intended goals of the domain, any lessons learned, and any recommended adjustments.
(Added by Stats. 2016, Ch. 613, Sec. 3. (AB 2207) Effective January 1, 2017.)
Last modified: October 25, 2018