Performance Measure

Agency

Department of Medical Assistance Services (602)

Measure Name

Percentage of level of care reviews on all current eligible waiver recipients

Measure Last Modified

Oct 05 2018 04:44

Measure Last Published

Sep 04 2019 03:41

Measure Status

Retired

Data Source and Calculation

The Department of Medical Assistance Services (DMAS) data system LOCRE (Level of Care Review Evaluation System) managed by the Division of Long Term Care conducts waiver eligibility reviews annually on all active waiver participants to ensure that they continue to meet level of care criteria for the waiver in which they are enrolled. The Level of Care Review Instrument form, DMAS 99-C, is based on the Virginia Uniform Assessment Instrument (UAI) and determines if the participant meets nursing facility criteria , as well as other eligibility requirements that may be required for that particular waiver The information on each active waiver participant is received from Medicaid providers who are providing services.

Enterprise Priorities and Strategies

Enterprise Initiative	Enterprise Priority	Enterprise Strategy

Associated Service Areas

SA Code	SA Name

Measure ID

M602SA12023

Measure Class

Other Agency

Measure Type

Outcome

Year Type

State FY

Preferred Trend

Stable

Frequency

Quarterly

Cumulative Data

Statistical Unit

Percent of reviews

Baseline and Targets

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

Measure Results

Year	Q1	Q2	Q3	Q4
2006	100.0	100.0	100.0	100.0
2007	100.0	100.0	100.0	100.0
2008	98.8	100.0	99.6	100.0
2009	100.0	100.0	100.0	100.0
2010	100.0	98.5	98.0	99.5
2011	100.0	100.0	100.0	100.0
2012	100.0	100.0	100.0	100.0
2013	100.0	100.0	100.0	100.0
2014
2015
2016
2017
2018
2019