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Medicaid Transformation metrics

Under the Delivery System Reform Incentive Payment (DSRIP) program, Washington State, Accountable Communities of Health, and Medicaid managed care organizations are all accountable for demonstrating improvement toward and attainment of transformation targets. Earning the maximum funding available requires that performance expectations, including reporting activities, are met. 

DSRIP Measurement Guide

The measurement guide describes how performance is measured for all accountable entities participating in the Medicaid Transformation Project (MTP) effort through DSRIP. 

In the DSRIP Measurement Guide, you will find:

    Measurement updates and resources

    DSRIP quality and outcome metrics

    Metrics listed in the state's MTP protocols were approved by the Centers for Medicare & Medicaid Services. These metrics use standard national and/or state specifications. Each technical specification sheet notes the utility of each metric within the DSRIP program.

    ACH pay-for-reporting (P4R) metrics

    P4R metrics can help ACHs, health care providers, and Washington State gain greater insight of how Project 2A and Project 3A are progressing through a short list of site-level indicators.