Continuous Program Improvement (CPI) will work with policy to identify areas of improvement, engage stakeholders in administrative simplification, execute on and facilitate completion of program improvement efforts.
CPI Vision, Mission, Purpose
Vision
Inspire continuous improvement by challenging the status quo
Mission
Evaluate processes, collect and assess information, and incorporate feedback to collaboratively identify and implement long term solutions
Purpose
Relieve administrative burdens for CPI stakeholders and the member and provider communities they serve
Continuous Program Improvement Workgroup and Initiatives
| Activity | Objective | Completion Date |
|---|---|---|
| SHBP Rural Health Analysis | Assist SHBP in identifying appropriate programs to improve outcomes in rural areas | March 2022 |
| State Office of Rural Health Data Improvement | Implement identified data services and business process updates for SORH | June 2022 |
| Provider Module | On-going support provider module implementation | December 2022 |
| Claims Module | On-going support for claims module implementation | December 2022 |
| Healthcare Facility Regulation Employee Retention | Implement data movement process for HFR and HR | August 2022 |
| CPI Healthcare Accessibility – Lifeline | Institutionalize the process of obtaining lifeline phones into the Medicaid program | On-going, with need to identify target % increase by March 2022 |
| CPI Provider Enrollment – Delegated Roster | Implement a new delegated provider roster between the CMOs and the large health systems | November 2022 |
| CPI Prior Authorization – Consolidated PA Portal | Consolidate the PA process for behavioral health and psychiatrics residential facilities | October 2022 |
| CPI Claims and Billing - TBD | TBD | TBD |