Ohio makes use of claims data and encounter data. OH will use CMS 372 Form (Medicaid Waivers) Reports to establish that the programs are cost effective and cost neutral and to report participation levels for the services rendered to individuals and families who meet the eligibility criteria in each waiver. It also uses National Medicaid HCBS data to note expenditures by their service categories, and uses CMS 64 Form Reports to judge participants access to both community and institution LTSS.
Ohio uses the Medicaid Adult Health Quality Measures and the NCQA/HEDIS measures based on claims data. It is also conducting reviews of Medicaid waivers and using various waiver performance measures
Ohio uses the Mental Health Statistics (MHSIP) survey and the Youth Satisfaction for families survey to measure service access, quality and appropriateness of services, and perceived outcomes. It also conducted a Money Follows the Person (MFP) Quality of Life survey and the National Core Indicators (NCI) survey.
OH used its enhanced FMAP to expand capacity of its 1915(c) waiver services, including PASSPORT, Choices, Assisted Living, Ohio Home Care, Transitions Carve-Out, Individual Options, Level One, SELF, and Transitions DD. OH increased home health, private duty nursing, and behavioral health state plan services. Finally, OH expanded its Program of All-Inclusive Care for the Elderly (PACE) and case management.