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20 | Page <br /> <br />B. Performance Measure Milestones . The Recipient shall report a set of <br />Performance Measure Milestones (“measure milestones”) described in NOFO <br />Section F 5.1.1 to CMS directly through the InCK Reusable Framework (RF). <br />Recipients will only report measure data for the attributed population eligible for <br />measure reporting (per individual measure specifications), not the comparis on <br />group. <br /> <br />A. Non-clinical measures – Food and Housing domains 3. Recipients shall <br />report non-clinical data on InCK participants on an annual basis , beginning July <br />30, 2022. <br /> <br />1. July 30, 2022: This first reporting period will capture data from January 1, <br />2022 - March 31, 2022. <br />2. July 30, 2023: The second reporting period for food and housing data in <br />Budget Period 4 (2023), will capture data from April 1, 2022 to December <br />31, 2022. <br /> <br />In alignment with all clinical performance measures, reporting for the Food and <br />Housing domains will occur annually thereafter, capturing data from the prior <br />calendar year and reporting it no later than July 30, 2022, for the duration of the <br />project period. R ecipients shall submit all measure reporting data through the <br />RF. <br /> <br />Recipients must report on all measures included in the InCK measure set. In <br />MYs 5, 6, and 7, CMS will link up to $100,000 annually to the Screening for <br />Clinical Depression and Follow -Up Plan and the CMS-approved Food <br />Insecurity and Housing Instabilty measures . CMS reserves the right to change <br />the measure set, revise the method of data submission to CMS or its <br />contractors , or modify the payment methodology for performance measure <br />milestones . <br /> <br />B. Clinical measure : Screening for Clinical Depression and Follow up Plan. <br />Recipients shall report clinical measure results for the 2021 calendar year <br />(MY2) by July 30, 2022, using the 2021 CMS Child Core Set specifications (as <br />amended for InCK -specific reporting). The InCK Calculation Guide for Clinical <br />Care Performance Measure Milestones provides instructions for developing <br />InCK-specific measure results. Note that only the Screening for Clinical <br />Depression and Follow up Plan: Ages 12-17 (CDF-CH) measure will be <br />reported in MY3. CMS may require retroactive reporting on the calculated <br />measure results and source data for the other five clinical measures covering <br /> <br />3 Per the July 28, 2021 update to the InCK Model Frequently Asked Questions (FAQ) document, CMS decided to <br />narrow the non-clinical measures requirements to Food and Housing in order to help award recipients strategically <br />allocate resources toward more imminent tasks, and still maintain the model’s focus on addressing children’s <br />health -related social needs. Since Education was removed as a required component of the model’s performance <br />measures portfolio, related measures (Kindergarten Readiness an d Chronic Absenteeism) are no longer subject to <br />monitoring requirements for the model. <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307