New Jersey Medicaid Auto Assignment Quality Incentive Analysis

The New Jersey Division of Medical Assistance and Health Services (DMAHS) is consistently exploring opportunities to advance quality improvement initiatives, working with managed care organizations (MCOs) to improve the Medicaid program’s service delivery. The goal of this project is for the Center for State Health Policy to provide analytic support to assess possible quality improvement incentives for the MCOs using the Medicaid auto assignment process which occurs when an enrollee fails to select an MCO at the time of enrollment. The Center, working closely with Mercer and DMAHS, will identify candidate metrics, including documentation, data sources and assessment of the strengths and weaknesses of each metric as well as the feasibility and minimum threshold requirements to inform performance management design strategies. This project is funded by the NJ Department of Human Services.