Performance Measure

Agency

Department of Medical Assistance Services (602)

Measure Name

Percentage of accurate reimbursement payments processed within 30 calendar days of receipt of clean claim at the Department of Medical Assistance Services (DMAS)

Measure Last Modified

Oct 05 2018 04:21

Measure Last Published

Sep 04 2019 03:41

Measure Status

Retired

Data Source and Calculation

Reports from the Virginia Medicaid Management Information System (VaMMIS) and a manual log maintained by Department of Medical Assistance Services (DMAS) Program Operations staff. These reports capture: the date of claim without errors as received by DMAS, date of processing by DMAS’ fiscal agent contractor, date the claim adjudicated for payment, and the actual remittance advice date.

Enterprise Priorities and Strategies

Enterprise Initiative	Enterprise Priority	Enterprise Strategy

Associated Service Areas

SA Code	SA Name

Measure ID

60232107.001.001

Measure Class

Other Agency

Measure Type

Outcome

Year Type

State FY

Preferred Trend

Stable

Frequency

Quarterly

Cumulative Data

Statistical Unit

Percent of claims

Baseline and Targets

Target Name	Date	Result	Note
Baseline
Short Target 2020
Long Target 2022

Measure Results

Year	Q1	Q2	Q3	Q4
2006				92.00
2007	100.00	96.00	97.70	97.90
2008	99.10	99.10	98.50	99.20
2009	96.30	99.20	99.20	99.97
2010	100.00	100.00	100.00	100.00
2011	99.92	100.00	100.00	100.00
2012	100.00	100.00	100.00	100.00
2013
2014
2015
2016
2017
2018
2019