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CENTENNIAL CARE 2.0 DEMONSTRATIONSection 1115 Demonstration Quarter ly ReportD e m on s tr a ti o n Year: 7 (1/ 1/ 2020 – 12/ 31/ 2020)Quarter: 2/2020October 8, 2020.

CONTENTS1. Introduction . 32. Enrollment and Benefits Information . 53. Enrollment Counts for Quarter and Year to Date . 94. Outreach/Innovative Activities to Assure Access . 125. Collection and Verification of Encounter Data and Enrollment Data . 136. Operational/Policy/Systems/Fiscal Development/Issues . 147. HCBS Reporting . 298. AI/AN Reporting . 409. Action Plans for Addressing Any Issues Identified . 4510. Financial/Budget Neutrality Development/Issues. 5311. Member Month Reporting . 5412. Consumer Issues . 5613. Quality Assurance/Monitoring Activity . 5814. Managed Care Reporting Requirements . 6515. Demonstration Evaluation . 6816. Enclosures/Attachments . 6917. State Contacts. 7018. Additional Comments . 71January 1, 2019 – December 31, 2023ii

1INTRODUCTIONOn December 14, 2018, the Centers for Medicare & Medicaid Services (CMS) approvedCentennial Care 2.0, New Mexico’s 1115 demonstration waiver, the next iteration ofCentennial Care. Centennial Care 2.0, effective January 1, 2019 through December 31,2023, features an integrated, comprehensive Medicaid delivery system in which amember’s Managed Care Organization (MCO) is responsible for coordinating his/her fullarray of services, including acute care, pharmacy, behavioral health services, institutionalservices and home and community-based services (HCBS).In Centennial Care 2.0, the state will continue to advance successful initiatives underCentennial Care while implementing new, targeted initiatives to address specific gaps incare and improve healthcare outcomes for its most vulnerable members. Key initiativesinclude: Improve continuity of coverage, encouraging individuals to obtain health coverageas soon as possible after becoming eligible, increasing utilization of preventiveservices, and promoting administrative simplification and fiscal sustainability of theMedicaid program;Refine care coordination to better meet the needs of high-cost, high-needmembers, especially during transitions in their setting of care;Continue to expand access to long-term services and supports (LTSS) andmaintain the progress achieved through rebalancing efforts to serve moremembers in their homes and communities;Improve the integration of behavioral and physical health services, with greateremphasis on other social factors that impact population health;Expand payment reform through value-based purchasing (VBP) arrangements toachieve improved quality and better health outcomes;Continue the Safety Net Care Pool and time-limited Hospital QualityImprovement Initiative;Build upon policies that seek to enhance members’ ability to become moreactive and involved participants in their own health care; andFurther simplify administrative complexities and implement refinements inprogram and benefit design.January 1, 2019 – December 31, 20233

The Centennial Care 2.0 managed care organizations (MCOs) are:1. Blue Cross Blue Shield of New Mexico (BCBS),2. Presbyterian Health Plan (PHP), and3. Western Sky Community Care (WSCC).Status of Key Dates:TOPICKEY DATEQuality StrategySubmitted to CMS onMarch 14, 2019Substance UseDisorder (SUD)Implementation PlanApproved by CMS onEvaluation Design PlanSubmitted to CMS onMay 21, 2019June 27, 2019SUD MonitoringProtocolSubmitted July 31, 2019January 1, 2019 – December 31, 20234STATUSCMS reported nocommentsApproved by CMS on May 21,2019Approved by CMS onApril 3, 2020CMS submittedfeedback onSeptember 30, 2019

2ENROLLMENT AND BENEFITS INFORMATIONTable 1: QUARTER 2 MCO MONTHLY ENROLLMENT CHANGESMANAGED MENTPERCENTINCREASE/DECREASE Q2Blue Cross Blue Shieldof New Mexico (BCBS)239,639252,167 5.2%Presbyterian Health Plan(PHP)374,324387,757 3.6%Western Sky CommunityCare (WSCC)60,38065,255 8.1%Source: Medicaid Eligibility Reports, March 2020 & June 2020CENTENNIAL CARE 2.0 MANAGED CARE ENROLLMENTCentennial Care 2.0 MCO enrollment data and cost per unit data by programs isprovided for July 2017 through June 2019. Please see Attachment A: July 2017 – June2019 Statewide Dashboards.MCO Enrollment In aggregate, MCO enrollment increased by less than 1% from the previous tocurrent period. This increase is comprised of the following:o 1% decrease in physical health enrollment.o 1% decrease in aggregate Long term services and supports enrollment.o 3% increase in other adult group enrollment.January 1, 2019 – December 31, 20235

MCO Per Capita Medical Costs In aggregate, total MCO per capita medical costs increased by 9% from the previous tocurrent period, this consists of a 7% increase to pharmacy services and 9% increase tonon-pharmacy services.Primary drivers of increased costs in the current period when compared to previousperiod costs are the various changes in benefits and fee schedules that went into effectthroughout 2019 and January 1, 2020. Service categories most impacted by thesechanges are Acute Inpatient, Acute Outpatient/Physician, Community Benefit/PCO, andBehavioral Health Services. Details of the benefit and fee schedule changes are includedin the cover page of the Statewide dashboards.CENTENNIAL CARE 1.0 TO CENTENNIAL CARE 2.0 TRANSITIONMolina Healthcare Plan TerminationMHC was required to comply with all duties and obligations incurred prior to the contracttermination date, as well as continuing obligations following termination. In DY7 Q2, MHCprovided monthly updates on the progress of its termination plan through May. MHCidentified the May update as its final termination plan and requested HSD’s agreement thatMHC had fulfilled all of its obligations. Following internal review and discussion with MHC,HSD decided that it cannot make a determination concerning MHC’s completion of itscontinuing obligations until all outstanding financial transactions have beencompleted. MHC was informed that HSD did not consider the May termination plan updateas the final plan and extended the due date for the final termination plan to3/31/2021. HSD will continue to work with MHC and monitor the completion of the financialtransactions.UnitedHealthcare Community Plan TerminationIn DY7 Q1, UHC submitted its final termination plan report and requested that HSD approvethe completion of the termination plan. UHC also requested the opportunity to review andrespond to external audit reports, when available, for periods during which UHC was anMCO. In DY7 Q2, HSD provided UHC a draft audit related to Medicaid inpatient hospitalclaims in CY 2017. UHC responded that it was unable to provide comments as its SubjectMatter Experts were no longer available. HSD has made a preliminary determination thatUHC has fulfilled its continuing obligations following the termination of its agreement withHSD. The final review is in process within HSD.January 1, 2019 – December 31, 20236

CENTENNIAL REWARDSThe Centennial Rewards program provides incentives to members for engaging in andcompleting healthy activities and behaviors as listed below: Asthma Management – reward for refills of asthma controller medications forchildren;Bipolar – reward for members who refill their medications;Bone Density – reward for women age 65 or older who complete a bone density testwithin the year;Dental – reward for annual dental visits;Diabetes – reward for members who complete tests and exams to better managetheir diabetes;Health Risk Assessment (HRA) – reward for members who complete an HRA;Pregnancy – reward for prenatal first trimester and postpartum visit; andSchizophrenia – reward for medication refill.Adult PCP VisitWell-Child for ages Birth – 15 Month (aka W15)Participating Members who complete these activities can earn credits, which canthen be redeemed for items in the Centennial Rewards catalog.January 1, 2019 – December 31, 20237

Table 2: Centennial RewardsCENT ENNIAL REW AR D SQ1Q2(JANUARY – MARCH 2020)(APRIL – JUNE 2020)Number of Medicaid EnrolleesReceiving a Centennial CareRewardable Service this Quarter*120,293131,348Number of Members Registered in theRewards Program this Quarter5,3455,333Number of Members Who RedeemedRewards this Quarter**11,13425,939*Only includes rewards earned THIS quarter.**Redeemed rewards could have been earned in any of the previous 24 reporting months.Electronic Engagement Reward Alert CampaignDuring this quarter, Finity conducted a multimedia reward alert campaign to supportmembers during the COVID-19 pandemic. Goals of this campaign included: Informing members that they can use their points for essentials (food, personal care,children’s activities, etc.)Boost member redemptionsFinity targeted all members with points ready to redeem who had valid phonenumbers/emails. A total of 159,554 messages were sent; 61% texts and 39% emails. TheRewards Alert Campaign resulted in redemptions in April 2020 of 415,637 over four timeshigher than 93,761 redemptions in March 2020. Finity has reported the following trends asa result of this campaign: 40% increase in new registrations over April 201919% of members engaged redeemed for the first time7.5% increase in calls to the Centennial Rewards call center over April 201922,967 new users visited the Centennial Rewards portal54,421 portal hits in April 2020 108% increase compared to April 2019January 1, 2019 – December 31, 20238

3ENROLLMENT COUNTS FOR QUARTER ANDYEAR TO DATEThe following table outlines quarterly enrollment and disenrollment activity under thedemonstration. The enrollment counts are unique enrollee counts, not member months.Please note that these numbers reflect current enrollment and disenrollment in eachMedicaid Eligibility Group (MEG). If members switched MEGs during the quarter, they werecounted in the MEG that they were enrolled in at the end of the reporting quarter. Due toPublic Health Emergency (PHE) regarding Coronavirus (COVID-19), HSD meets the Maintenanceof Effort (MOE) statutory requirements to receive the 6.2 percent increased FMAP by ensuringindividuals are not terminated from Medicaid if they were enrolled in the program as of March 18,2020, or become enrolled during the emergency period, unless the individual voluntarily terminateseligibility. The disenrollment for this quarter is attributed to incarceration, death, and membersmoving out of state.January 1, 2019 – December 31, 20239

Demonstration PopulationPopulation MEG1 TANF and Related0-FFSPresbyterianWestern SkyBlue Cross BlueShieldSummaryPopulation MEG2 - SSIand Related - MedicaidOnly0-FFSPopulation MEG3 - SSIand Related - DualTotal NumberDemonstrationParticipantsDY7 Q2Ending 0642,126Presbyterian20,19220,383Western Sky3,3983,429Blue Cross Blue rian22,857Population MEG6 - VIIIGroup (expansion)778176716922,7092,4702,445Blue Cross Blue Western Sky303301Blue Cross Blue yterian132,659128,218Western Sky23,10722,445Blue Cross Blue 41,633719,587727,1193,8130-FFSPresbyterianWestern SkyBlue Cross Blue ShieldSummaryPopulation MEG5 217-like Group - DualTotalDisenrollments DuringDY7 Q26Western SkyPopulation MEG4 217-like Group Medicaid mmaryJanuary 1, 2019 – December 31, 20231012

MEG1MEG2MEG3MEG4MEG5MEG6Total Disenrollments During DY7 Q2Blue Cross Blue ShieldWestern SkyPresbyterian0-FFSBlue Cross Blue ShieldWestern SkyPresbyterian0-FFSBlue Cross Blue ShieldWestern SkyPresbyterian0-FFSBlue Cross Blue ShieldWestern SkyPresbyterianBlue Cross Blue ShieldWestern SkyPresbyterian0-FFSBlue Cross Blue ShieldWestern 67785091607441940100200300January 1, 2019 – December 31, 202311400500600700800

4OUTR EACH/ INNOVATIVE ACTIVITIES TOASSURE ACCESSOUTREACH AND TRAINING2nd Quarter ActivitiesIn May of 2020, HSD staff hosted a Virtual HealthcareEnrollment Event throughout New Mexico in response to theCOVID-19 pandemic. HSD partnered with The New MexicoEarly Childhood Education and Care Department and beWellNew Mexico, Health Insurance Exchange to facilitate astatewide Virtual Medicaid Enrollment Event for childcareworkers and the families they support. Goals of the eventinclude: Overview of New Mexico’s public assistance; food,energy and cash assistance programsInformation on affordable health care coverageoptions available through New Mexico Medicaid andbeWell New MexicoImmediate Health care coverage applicationassistanceA series of events of Virtual Healthcare Enrollment Eventswere conducted remotely via a webinar platform.In DY7 Q2, HSD staff conducted monthly trainings for thePresumptive Eligibility (PE) Program and Presumptive EligibilityDeterminers (PED) in the JUST Health Program. HSD alsoconducted YESNM-PE Demonstration trainings for PEDs. Thepurpose for these on-going trainings is to increase PEDenrollment throughout New Mexico and provide updates fromthe Medicaid program. Due to COVID-19, all trainings wereconducted remotely and are now via a webinar platform.In DY7 Q2, HSD staff conducted “Baby Bot” trainings for PEDs. Thisis a new feature in YESNM-PE that allows the PED provider to addan eligible newborn onto Medicaid immediately. This is a mandatorytraining for certified PEDs.January 1, 2019 – December 31, 202312

5COLLECTION AND VERIFICATION OFENCOUNTER DATA AND ENROLLMENT DATAThe MCOs submit encounters daily and/or weekly to stay current with encountersubmissions, including encounters that are or not accepted by HSD. HSD meets regularlywith the MCOs to address specific issues and to provide guidance. HSD regularlymonitors encounters by comparing encounter submissions to financial reports to ensurecompleteness. HSD monitors encounters by extracting data monthly to identify theaccuracy of encounter submissions and shares this information with MCO’s. HSDextracts encounter data on a quarterly basis to validate and enforce compliance withaccuracy. Based on the most recent quarterly data extracted, the MCO’s are compliantwith encounter submissions.Data is extracted monthly to identify Centennial Care enrollment by MCO and for variouspopulations. Any discrepancies that are identified, whether due to systematic or manualerror, are immediately addressed. Eligibility and enrollment reports are run on a monthlybasis to ensure consistency of numbers. In addition, HSD continues to monitor enrollmentand any anomalies that may arise, so they are identified and addressed timely. HSDposts the monthly Medicaid Eligibility Reports (MERs) to the HSD website medicad-eligibility.aspx. This reportincludes enrollment by MCOs and by population.January 1, 2019 – December 31, 202313

6OPERATIONAL/ POLICY/ SYSTEMS/ FISCALDEVELOPMENT/ ISSUESFISCAL ISSUESThe capitation payments through Quarter 2 of demonstration year (DY) 7 reflect theCentennial Care 2.0 rates effective on January 1, 2020. The rates are developed withefficiency, utilization, trends, prospective program changes, and other factors as describedin the rate certification reports. The rate certification reports for January 1 throughDecember 31, 2020 were submitted to the Centers for Medicare and Medicaid Services(CMS) on January 6, 2020. In addition, the payments during Q2 of DY 7 also reflect theupdated rates to remove the Safety Net Care Pool (SNCP) programmatic change and addmore System Delivery Provider Payment Initiatives. This rate report was submitted to CMSon April 29, 2020.During Quarter DY7 Q2, penalty assessments and direct payments to the University of NewMexico Medical Group (UNMMG) were made affecting the per member per month (PMPM)of MEG 1 in DY 6; direct payments made to UNMMG and hospital access paymentpredominantly contribute to the change of the PMPM for MEG 1 of DY 7. The paymentsrelated to health care quality surcharge were made, which affects the PMPM of MEG 2 forDY 6.The fiscal impact of the health emergency due to the Coronavirus (COVID-19) pandemicmay be minimal in the financial activities during Quarter 2 of CY 2020. Much of the fiscalimpact from the pandemic period will be better reflected in subsequent quarters.January 1, 2019 – December 31, 202314

PUBLIC HEALTH EMERGENCY (PHE) regarding COVID-19On January 31, 2020 the Health and Human Services Secretary Alex M. Azar II declared apublic health emergency for the United States to aid the nations healthcare community inresponding to the 2019 novel coronavirus also known as COVID-19. This declaration isretroactive to January 27, 2020. In response to the PHE, HSD requested several federalauthorities and were approved for the following:New Mexico Disaster Relief State Plan Amendments (SPAs)HSD submitted five Disaster Relief SPAs and received CMS approval for the following: Expands the list of qualified entities allowed to do Presumptive Eligibility Increases DRG rates for ICU inpatient hospital stays by 50% and all other inpatienthospital stays by 12.4%; and Established Category of Eligibility (COE) for the COVID Testing Group for theuninsured population Targeted Access UPL Supplemental Payments Nursing Facility Rate Increases applied when treating fee for service COVID-19members1135 WaiverHSD submitted a 1135 waiver and received CMS approval for the following: Suspending prior authorizations and extending existing authorizations Suspending PASRR Level I and II screening assessments for 30 days Extension of time to request fair hearing of up to 120 days Enroll providers who are enrolled in another state’s Medicaid program or who areenrolled in Medicare Waive screening requirements (i.e. Fingerprints, site visits, etc.) to quickly enrollproviders Cease revalidation of currently enrolled providers Payments to facilities for services provided in alternative settings Temporarily allow non-emergency ambulance suppliers Temporarily suspend payment sanctions Temporarily allow legally responsible individuals to provide PCS services to childrenunder the EPSDT benefit.January 1, 2019 – December 31, 202315

Appendix KsHSD submitted three Appendix Ks and received CMS approval for the following: 1915c Waivers (Medically Fragile, Mi Via, and Developmental Disability)o Exceed service limitations (i.e. additional funds to purchase electronicdevices for members, exceed provider limits in a controlled communityresidence and suspend prior authorization requirements for waiverservices, which are related to or resulting from this emergency)o Expand service settings (i.e. telephonic visits in lieu of face-to-face andprovider trainings also done through telehealth mechanisms.)o Permit payment to family caregiverso Modify provider enrollment requirements (i.e. suspending fingerprintingand modifying training requirements)o Reducing provider qualification requirements by allowing out-of-stateproviders to provide services, allowing for an extension of home healthaide supervision with the ability to do the supervision remotelyo Utilizing currently approved Level of Care Assessments to fulfil the annualrequirement or completing new assessments telephonicallyo Modifying the person-centered care plan development process to allow fortelephonic participation and electronic approvalo Modifying incident reporting requirementso Retainer payments for personal care services 1115 Demonstration Waiver for Home Community Benefit Services (HCBS)o Expand service settings (i.e. telephonic visits in lieu of face-face andprovider trainings also done through telehealth mechanisms.)o Permit payment for services rendered by family caregivers or legallyresponsible individuals if not already permitted under the waiver.o Modifying provider qualifications to allow provider enrollment or reenrollment with modified risk screening elements.o Modification to the process for level of care evaluations or re-evaluationso Modifying person-centered service plan development process to allow fortelephonic participation and electronic approvalo Modifying incident reporting requirementso Allow for payment for serviceso Retainer payments for personal care servicesJanuary 1, 2019 – December 31, 202316

PATIENT CENTERED MEDICAL HOMES (PCMH)HSD discontinued the PCMH delivery system improvement project as of DY6. However,MCOs are still required to work with PCP contract providers to implement PCMH programsand report the activities quarterly. Please see DY7Q1 and DY7Q2 listed below.Table 3: PCMH AssignmentPCMH ASSIGNMENTT o t a l M e mbe r s P a n e l ed t o a P C M HDY7 Q1BCBS108,396DY7 Q2108,409PHP231,428230,140WSCC24,39125,229P e r c e n t o f M e m b e r s P a n e l ed t o a P C M HBCBS43.2%42.5%PHP61.9%59.8%WSCC34.6%34.4%In DY7 Q2, the MCOs submitted their PCMH quarterly reports. In response to the PHE,HSD directed provider to offer telehealth services to be provided in all physical health,behavioral health, and long-term care settings to ensure safe access to health care. HSDadded new telehealth codes to encourage the use of telephonic visits and e-visits in lieu ofin-person care to reduce the risk of spreading COVID-19 through face-to-face contact.January 1, 2019 – December 31, 202317

CARE COORDINATION MONITORING ACTIVIESCare Coordination Monitoring Activities2nd QuarterActivitiesIn DY7 Q2, HSD temporarily placed the monthly Care CoordinationAudits on hold and monitored MCO compliance through enrollmentand Members engaging in Care Coordination through a quarterlyreport. The quarterly Care Coordination report includes requiredassessments, touchpoints due and complete within contracttimeframes. The MCO aggregated results from DY7 Q1 showperformance standards of 85% were met or exceeded timelycompletion of Health Risk Assessments (HRAs), ComprehensiveNeeds Assessments (CNAs) and Comprehensive Care Plans(CCPs). See Table 4: Care Coordination Monitoring listed below.January 1, 2019 – December 31, 202318

Table 4 – Care Coordination MonitoringMCO PERFORMANCESTANDARDSDY7Q1 DY7Q2 DY7Q3 DY7Q4HRAs for new Members98%BCBSNM98%PHP96%100%WSCCHRAs for Members with a change inhealth condition87%BCBSNM100%81%PHP100%WSCCCNAs for CCL2 Members93%BCBSNM85%PHP98%WSCC99%CNAs for CCL3 Members87%BCBSNM76%PHP91%100%WSCCCCPs for CCL2 Members92%BCBSNM72%PHP100%WSCC97%CCPs for CCL3 Members93%BCBSNM80%PHP99%WSCC95%January 1, 2019 – December 31, 202319

In DY7 Q2, HSD also implemented a new MCO bi-weekly report to monitor the possibleimpact of the PHE and engagement of Members in Care Coordination. The bi-weeklyreport includes monitoring compliance of MCOs use of telephonic and video visits forassessments and required touchpoints. Table 5 listed below identifies how MCOs are ableto continue to provide care coordination by completing assessments and touchpoints formembers.January 1, 2019 – December 31, 202320

Table 5 - Telephonic In Lieu of Face To Face VisitsTELEPHONIC IN LIEU OFFACE TO FACE VISITSInitial CNAs completedDY7Q1 DY7Q2 A3BCBSNMN/A1PHPN/A1WSCCN/A1Annual CNAs 0N/A1,357BCBSNMN/A573PHPN/A738WSCCN/A46Initial CNAs not completed due toCOVID 19Annual CNAs not completed due toCOVID 19Semi-annual CNAs completedSemi-annual CNAs not completed dueto COVID 19Quarterly in-person visits completedJanuary 1, 2019 – December 31, 202321DY7Q4

Quarterly in-person visits notcompleted due to COVID 12WSCCN/A0Semi-annual in-person visitscompletedSemi-annual in-person visits notcompleted due to COVID 19Care Coordination Ride-AlongsPrior to DY7 Q2, HSD conducted in-person ride-alongs with MCO care coordinators toobserve completion of Member assessments in the home setting. In March 2020, theMCOs began utilizing telephonic or virtual visits in lieu of in-home person touchpoints toreduce the risk of spreading COVID-19 through face-to-face contact. In DY7 Q2, HSDconducted ‘virtual ride-alongs’ with MCO care coordinators via telephone. HSD attendedone annual CNA conducted by BCBS and one conducted by WSCC. HSD observed howthe care coordinator properly administered the Community Benefits Services Questionnaire(CBSQ) and the Community Benefits Member Agreement (CBMA) to ensure the Membershave access to Community Benefits.January 1, 2019 – December 31, 202322

The observed care coordinators adhered to, and often went beyond, all contractualobligations in their assessments. Care Coordinators were thorough, well prepared, showedexcellent listening skills, patient, and caring towards their Members. HSD noted that oneMember has worked with her care coordinator for six years. Developing a relationship builton trust. This Member lives in a particularly rural area with limited access to services. TheCare Coordinator is able to assist her with community resources, caregiving options,Environmental Modifications (EMODs), Durable Medical Equipment (DME) repairs, andscheduling Primary Care Practitioner (PCP) appointments. One Member reported that shepreferred ‘virtual visits’ due to her anxiety with face-to-face contact. HSD provided writtenfeedback to the MCOs on care coordinator strengths and areas that could useimprovement. Areas that could use improvement included covering all required substanceabuse related assessments and addressing smoke detectors and pests/infestations whenevaluating the Member’s environmental safety.Care Coordination All MCO MeetingIn DY7 Q2, HSD conducted a quarterly meeting with MCOs, to present aggregated datafrom all MCOs from the quarterly Care Coordination Report on Member engagement, CareCoordination timeliness, performance analysis, and Member outcomes. Representativesfrom all MCOs attended, including those MCO staff overseeing care coordinators,compiling Care Coordination data, and reviewing HSD reports. HSD covered DY6 Q1-Q4and DY7 Q1 in aggregated report results for completion of contract required assessmentsand touchpoints.HSD provided an overview of results from monthly Care Coordination audits from DY6 Q1Q4 and January and February of DY7, prior to the temporary hold on monthly CareCoordination audits. HSD presented the audit results for the following monthly audits:Health Risk Assessment (HRA)/Care Coordination Level (CCL) audit, Transition of Care(TOC) audit and DUR audit: Difficult to Engage (DTE), Unable to Reach (UTR) andRefused Care Coordination (RCC). HSD provided both aggregated audit results for allMCOs and provided the MCOs with their individual results. This data, previously submittedin the DY7 Q1 CMS Monitoring Report, showed improvement in contract compliance.HSD provided the MCOs with targeted training on contract and policy requirements thateffect all files audited for improved contract and policy compliance going forward.HSD has seen significant improvement in MCO compliance with timely completion ofcontract required assessments and touchpoints. HSD has also observed increasedMember engagement due to an increase in MCO outreach attempts which has resulted inan increase in both Care Coordination Level 2 and Care Coordination Level 3 Members.January 1, 2019 – December 31, 202323

BEHAVORIAL HEALTHIn DY7 Q2, the MCOs, in collaboration with the State and the New Mexico BehavioralHealth Provider Association (NMBHPA), worked together to identify ways to maintaincritical behavioral health services during the COVID 19 public health emergency. In midMarch HSD issued a letter of direction authorizing the use of telehealth for the majority ofbehavioral health services, delivered in all settings and using the same codes and ratesthat are in place for face-to-face services. In addition to standard telehealth deliverymethods, behavioral health providers are, for the duration of the emergency, permitted todeliver services telephonically.Expanded behavioral hea

The Centennial Rewards program provides incentives to members for engaging in and completing healthy activities and behaviors as listed below: . 22,967 new users visited the Centennial Rewards portal 54,421 portal hits in April 2020 108% increase compared to April 2019. January 1, 2019 - December 31, 2023 9 3