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Performance Measures (Rev. 4//12) <br />Measure <br />Type <br />Output Reporting <br />Frequency <br />Monthly <br />Measure 80% of requisitions submitted were correctly submitted <br />Budget Year 2 Trend Maintain <br />Baseline <br />Value <br />0 <br />Target Value 80% of submissions <br />Data Source fiscal data monitoring <br />Collection <br />Process and <br />Calculation <br />reimbursement submission <br />Collection <br />Frequency <br />monthly <br />Budget Year 1 Trend Maintain <br />Baseline <br />Value <br />0 <br />Target Value 80% of submissions <br />Data Source fiscal data monitoring <br />Collection <br />Process and <br />Calculation <br />reimbursement submission <br />Collection <br />Frequency <br />monthly <br />Measure <br />Type <br />Outcome Reporting <br />Frequency <br />Annual <br />Measure Program Compliance- On-site or virtual desk monitoring by the ESG office yields <br />10% or less findings/concerns in cumulative records reviewed. <br />Budget Year 2 Trend Increase <br />Contract Number 00041435 / Page 12 of 18 <br />DocuSign Envelope ID: A3F0C410-E465-42A4-AE07-78C4B90F42A5