Specifications include, but are not limited to: 1. Performance Measures The Medical Assistance Division (MAD) has established a strong foundation for promoting and monitoring quality and access. A. Goals 1. Provide access to medically necessary services and access to quality health care. 2. Ensure that the HSD’s approach is consistent with health care reform principles 3. Promote early intervention, preventive care, and attainment of improved clinical outcomes. Measure: Rate of growth since the close of the previous fiscal year in the number of children and youth receiving services in Medicaid School Based Services Program(s) (MSBS). B. Objectives 1. Coordinate contractor, school districts and HSD/MAD in performing quarterly Random Moment Time Studies; 2. Collect Local Education Agency (LEA), Regional Education Cooperative (REC), or State Funded Education Agency (SFEA) financial information for calculation of quarterly administrative claiming invoices for Medicaid reimbursement. Generate and review final administrative claiming invoices to provide LEAs/RECs/SFEAs with Medicaid reimbursement for their allowable administrative expenses in support of the Medicaid program; and 3. Collect LEA/REC/SFEA financial information for calculation of annual cost report data from all LEAs/RECs/SFEAs who receive any MSBS payments during the cost reporting period, and prepare Annual Cost Report Settlement calculations to reconcile all interim payments with actual annual costs for direct services provided under the MSBS program. Generate and review final annual cost settlement reports for each LEA/REC/SFEA site to submit to the HSD/MAD.