DHS 10.46(3) (3) Measurement indicators. The department shall measure at least the following indicators:

DHS 10.46(3)(a) (a) Preventable hospitalizations and emergency room visits.

DHS 10.46(3)(b) (b) Voluntary and involuntary disenrollment.

DHS 10.46(3)(c) (c) Pressure sores.

DHS 10.46(3)(d) (d) Movement of members among residential settings.

DHS 10.46(3)(e) (e) Medication management.

DHS 10.46(3)(f) (f) Grievances, appeals and fair hearings and their disposition.

DHS 10.46(3)(g) (g) Providers with consumers on governance boards and committees.

DHS 10.46(3)(h) (h) Change in ability to carry out activities of daily living.

DHS 10.46(3)(i) (i) Employment or other activities sought by consumers.

DHS 10.46(3)(j) (j) Influenza vaccinations.

DHS 10.46(4) (4) Assessment indicators. The department shall assess CMOs in meeting member needs through qualitative indicators in at least the following areas:

DHS 10.46(4)(a) (a) Fair treatment.

DHS 10.46(4)(b) (b) Privacy.

DHS 10.46(4)(c) (c) Choice of routine.

DHS 10.46(4)(d) (d) Maintenance of family involvement.

DHS 10.46(4)(e) (e) Satisfactory community contact.

DHS 10.46(4)(f) (f) Access to transportation.

DHS 10.46(4)(g) (g) Choice of living arrangement.

DHS 10.46(5) (5) Cost- effectiveness. The department shall measure:

DHS 10.46(5)(a) (a) CMO cost-effectiveness in meeting member needs within available resources.

DHS 10.46(5)(b) (b) CMO financial condition.

DHS 10.46(6) (6) Cost of services. The department shall measure the cost of all department-funded health care services received by CMO enrollees.

DHS 10.46 History History: Cr. Register, October, 2000, No. 538, eff. 11-1-00; CR 04-040: am. (3) (f) Register November 2004 No. 587, eff. 12-1-04.

subch. V of ch. DHS 10 Subchapter V — Protection of Applicant, Eligible Person and Enrollee Rights

DHS 10.51 DHS 10.51 Client rights. Clients shall have the rights in family care that are outlined in the applicant information materials they receive when contacting a resource center and in the member handbook they receive prior to enrollment in a care management organization. The department shall review and approve the statement of client rights and responsibilities in each resource center’s applicant information materials and in each CMO’s member handbook. Client rights shall, at a minimum, include an explanation of client rights in the following areas:

DHS 10.51(1) (1) Rights of clients. Clients have the right to all of the following:

DHS 10.51(1)(a) (a) Freedom from unlawful discrimination in applying for or receiving the family care benefit.

DHS 10.51(1)(b) (b) Accuracy and confidentiality of client information.