Kentucky Behavioral Health Service Provider Performance Scorecard

About This Scorecard

In accordance with Kentucky House Bill 695 § 22 (2025), the Cabinet for Health and Family Services (CHFS) presents a publicly available scorecard evaluating behavioral health (BH) and substance use disorder (SUD) service quality outcome measures for use by all managed care organizations (MCOs) contracted by the Department of Medicaid Services (DMS). Developed in collaboration between DMS and MCOs, the scorecard evaluates quality outcome measures among provider organizations (providers) rendering BH and SUD services throughout Kentucky.

Six provider types are evaluated: Community Mental Health Centers (CMHCs), Psychiatric Hospitals, Behavioral Health Service Organizations (BHSOs), Behavioral Health Multi-Specialty Groups, and Psychiatric Residential Treatment Facilities (Levels I & II). Data sources to support this scorecard include Kentucky Medicaid administrative claims data from the Medicaid Management Information System (MMIS) and member enrollment information from the Integrated Eligibility and Enrollment System (IEES).

To report a bug, please email OHDAAnalyticsRequest@ky.gov

Scorecard Features

The interactive scorecard dashboard allows users to review composite scores reflecting overall quality outcome measure performance within an individual provider type, across individual providers, and among MCOs. Additionally, scorecard features enable users to customize the level of importance of individual quality measures as they contribute to the overall composite score.

The data in this application is being provided pursuant HB 695, 2025 Ky Acts ch. 110. Sec. 22, which requires making publicly available a scorecard for behavioral health and substance use disorder treatment services and providers.

HIGHLIGHTED FEATURES

Customizable Scoring: Weight individual metric importance based on user priority
Performance Over Time: Track provider performance across time (quarters)
Comparisons: Compare individual providers against other providers or the average across all providers

DISCLAIMER: The data in this application is being provided pursuant HB 695, 2025 Ky Acts ch. 110. Sec. 22, which requires making publicly available a scorecard for behavioral health and substance use disorder treatment services and providers.

About These Scores

Scores shown on the Scorecard are scaled from 0 to 5, with 5 being the most improved. Displayed scores are aggregate composite scores derived from the four quality outcome measure domains, each comprised of various metrics. All metrics are initially calculated as true percentage rates to preemptively avoid penalizing smaller providers. Percentage rates are calculated by dividing the total count of Medicaid members positive for a metric by the total count of members observed starting at a given event date.

The scoring approach is outlined as follows: First, all metric rates (are calculated at the required aggregate level (i.e., outcome measure and provider type, in addition to time (quarter), provider organization, or MCO level as needed). These rates are then directionally scaled between 0 and 1 based on each individual metric’s specific favored directionality.

Favored directionality is metric-dependent and reflects the direction of change in a value that is most ideal (e.g., a decrease in mortality is favored but an increase is unfavored). Once scaled, values are then weighted by metric-specific importance values. Importance value is a preset or user-selected value between from 0 to 10, where a lower importance value reduces a metric’s influence on the final composite score and a higher importance value increases influence. The preset value for all metrics is currently set to 5. The sum of all weighted metric values across an aggregate, reshaped to reflect a final composite score between 0 and 5, yields the final composite score shown in the Scorecard.

Select Provider Type

Alcohol and Other Drug Treatment Entity

AODE scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Behavioral Health Multi-Specialty Group

Behavioral health multi-specialty group scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Community Mental Health Center

Community mental health center scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Psychiatric Residential Treatment Facility Level I

Psychiatric residential treatment facility (Level I) scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Behavioral Health Service Organizations

Behavioral health service organization scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Psychiatric Hospitals

Psychiatric hospital scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Psychiatric Residential Treatment Facility Level II

Psychiatric residential treatment facility (Level II) scoring based on patient outcomes including overdose, ER utilization for SUD, and other metrics.

Select Behavioral Health Service Organization:

Select Psychiatric Hospital:

Select Psychiatric Residential Treatment Facility Level 1:

Select Psychiatric Residential Treatment Facility Level 2:

Select Behavioral Health Multi-Specialty Group:

Select Community Mental Health Center:

Select Alcohol and Other Drug Entity:

The grey dashed line on this visualization represents the average for all providers of the selected provider type.

Select BHSO:

Select Psychiatric Hospital:

Select Psychiatric Residential Treatment Facility Level I:

Select Psychiatric Residential Treatment Facility Level II:

Select Behavioral Health Multi-Specialty Group:

Select Community Mental Health Center:

Select Alcohol and Other Drug Entity:

Compare individual metrics for the selected provider against the average of all providers of the same type.

The grey points on this visualization represents the average for all providers of the selected provider type for each metric. A red arrow means the selected provider is below the provider type average, while the green arrow means the selected provider is above the provider type average.