A170 Financial Incentive for Quality of Care - NCQA Audited Results (CPD) Amendment 0001 09202023.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

Frequency: Annual (Option Period) Reporting Period Start Date: Start of service delivery Due Date: 180 calendar days after end of reporting period

SUBSEQUENT SUBMISSION: CONTINUE FROM FIRST SUBMISSION

PHI/PII: No FILE FORMAT: Microsoft Excel spreadsheet that allows for sorting, copy/paste.

CONTENT DETAILS:

The Government will pay the CPD Contractor an annual quality-of-care performance incentive for meeting or exceeding the standards associated with the financial incentive measures identified in Attachments J-5 and J-14. The contractor shall provide their NCQA audited results no later than 6 months after the end of the option period for the financial incentive quality metrics to receive the incentive payment annually for the previous year.

Following three measures will be introduced in year 1 of the CPD:

1. Colorectal Cancer Screening

2. HbA1c Control for Patients with Diabetes Testing

3. Controlling for High Blood Pressure Following two metrics to be introduced in year 2 of the CPD:

4. Well Child Visits 0-15 months

5. Depression Screening and Follow Up (New measure in 2024) Following metric to be introduced in year 3 of the CPD:

6. All Cause Readmission Rate

If the Government determines at any point that a particular metric will not serve a useful purpose under this incentive plan (such as because there are an insufficient number of enrolled beneficiaries in the age-group to which the metric applies to provide meaningful outcome data), then the Government, in its sole discretion, may introduce an alternative metric that is better suited to the enrolled beneficiary population and adjust the incentive distribution structure as necessary to accommodate any changes to the metrics or for any other reason.