§9-11-4. Use of value-based measures.

(a) The measures to be utilized under value-based programs shall include, but not be limited to, the following:

(1) Housing stability — which means whether the individual is in stable, safe, and long-term housing;

(2) Sobriety — which means verified abstinence from non-prescribed substances or effective management thorough medication-assisted treatment;

(3) Criminal justice and child welfare avoidance — which means no new arrests, law-enforcement interactions, or Child Protective Services investigations, indicating improvement in the societal burden of their addiction and costs to other governmental agencies;

(4) Self-sufficiency — which means participation in employment, education, training programs, or other activities indicative of long-term recovery and independence, indicating a reduction in dependence on governmental benefits; and

(5) Provider transition plan — which means the development and implementation by a provider of a concrete plan to assist an individual moving between different settings or providers.

(b) These metrics developed pursuant to this article shall be:

(1) Measurable and capable of validation using existing or enhanced state data systems or data input from outside providers;

(2) Inclusive of the delivery of services to address the social determinants of health;

(3) Account for individual complexity and acuity and may include different tiers of performance measures and incentive models based on comorbidity and severity; and

(4) Protective of privacy and consistent with the Health Insurance Portability and Insurance Act and other relevant state and federal regulations.