WNYCCP has developed a pay for performance plan to align fiscal incentives for community mental health centers with achievement performance milestones developed with County Departments of Mental Health. The plan is currently being implemented in both Erie and Monroe counties under a 41.35 waiver.
Key components of the plan include:
Priority Target Population
Adults who are seriously mentally ill
Performance Categories:
Access to care for priority populations
Implementation of person-centered practices
Recovery/community integration outcomes
Common Principles and Points of Accountability
Voluntary provider participation
Standards for agencies not for individual clinicians
Quality improvement plan
Quarterly certification of performance measures
County Level Planning and Contracting
Incentive Model
Level I: Based on achievement of baseline contracted incremental improvements in county defined priority population performance standards,
reimbursement up to incurred deficits;
attainment of funding flexibility across program and funding source codes;
risk corridor option by county.
Level II: Based on achievement of more difficult performance standards,
reimbursement up to the full contracted program budget regardless of incurred deficits, with restriction on use of funds retained in excess of incurred deficits;
attainment of funding flexibility across program and funding source codes.
Level III: Based on achieving or exceeding most difficult performance standards,
reimbursement up to the full contracted funding level regardless of incurred deficits, with restriction on use of funds retained in excess of incurred deficits;
attainment of funding flexibility across program and funding source codes; performance premium.
