Claims data is used for administrative, financial and quality control purposes. Specifically, MO tracks the percent of LTSS expenditures spent on community LTSS and the cost of participants accessing community versus institutional LTSS.
MO received a Medicaid Adult Health Care Quality Measures grant to strengthen its capacity to calculate claims-based measures. The core set of measures is currently being decided. MO will use this method to calculate measures for all populations.
ID/DD Population: Family/Guardian Survey, Adult Consumer Survey, and Adult and Child Family Surveys; All Community LTSS Populations: Survey on the MOCOR website and Client Services Postcards.
MO used funds to add approximately 3,000 individuals to the following waivers: Partnership for Hope Waiver, Missouri Children with Developmental Disabilities Waiver, the Comprehensive Waiver, and the Adult Day Care Waiver. Additionally, MO has used program funds to support the structural changes.