10208 QUALITY REPORTING REQUIREMENTS

10208.1 Each My Health GPS entity shall report to DHCF as outlined in the policy guidance document available at https://dhcf.dc.gov/page/my-health-gps-program-forms-and-materials on the following measure set, in accordance with 42 USC § 1396w-4(g).

CMS “Health Home Quality Reporting,” which may be located on the CMS website at:

https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-home-quality-reporting/index.html

10208.2 Each My Health GPS entity shall utilize certified EHR technology to collect and report all data required for the quality measures described in § 10208.1.

10208.3 Each My Health GPS entity shall submit hybrid data as required by CMS and DHCF in accordance with protocols outlined in the My Health GPS provider manual, based on current required performance measures, available here:

https://dhcf.dc.gov/page/my-health-gps-program-forms-and-materials.

10208.4 Each My Health GPS entity shall report each sentinel event to DHCF within twenty-four (24) hours of occurrence in accordance with the procedure set forth in the My Health GPS provider manual.

10208.5 Each My Health GPS entity may also be required to submit an annual program evaluation report to DHCF, which may include the following components:

1. (a) The My Health GPS entity’s approach to delivering services;
2. (b) Barriers to the current delivery of My Health GPS services;
3. (c) Interventions unique to the My Health GPS entity; and
4. (d) Strategies to improve future delivery of My Health GPS services.

SOURCE: Final Rulemaking published at 65 DCR 0636 (January 26, 2018); as amended by Final Rulemaking published at 66 DCR 5381 (April 26, 2019); as amended by Final Rulemaking published at 72 DCR 010392 (September 26, 2025).