Dataset Viewer
State
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values | Domain
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values | Reporting Program
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values | Measure Name
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values | Measure Abbreviation
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values | Measure Type
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values | Rate Definition
stringclasses 93
values | FFY
int64 2.02k
2.02k
| Population
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values | Methodology
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values | State Rate
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| Number of States Reporting
int64 25
52
| Median
float64 0.98
94.5
| Bottom Quartile
float64 0.9
89.8
| Top Quartile
float64 0.9
96.7
| Notes
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⌀ | Rate Used in Calculating State Mean and Median
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Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Ages 13 to 17 | FUA-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Alcohol and Other Drug Abuse or Dependence with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17 | 2,022 | Medicaid only | Administrative | DS | 25 | 10.6 | 6 | 16.3 | DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10. | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Ages 13 to 17 | FUA-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Alcohol and Other Drug Abuse or Dependence with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17 | 2,022 | CHIP only | Administrative | # | 25 | 10.6 | 6 | 16.3 | # = Rate not reported because denominator is less than 30 | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid only | Administrative | 45.3 | 40 | 54.6 | 46.2 | 65.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid only | Administrative | 61.6 | 40 | 72.7 | 63.6 | 76.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17 | 2,022 | CHIP only | Administrative | 38.1 | 40 | 54.6 | 46.2 | 65.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17 | 2,022 | CHIP only | Administrative | 61.9 | 40 | 72.7 | 63.6 | 76.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid only | Administrative | 42.9 | 48 | 47.9 | 40.1 | 57.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid only | Administrative | 66.5 | 48 | 70.4 | 62.1 | 79.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17 | 2,022 | CHIP only | Administrative | 43.8 | 48 | 47.9 | 40.1 | 57.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17 | 2,022 | CHIP only | Administrative | 71.6 | 48 | 70.4 | 62.1 | 79.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with 1 Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid only | Administrative | 32.7 | 50 | 43 | 36.4 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with at Least 2 Follow-Up Visits in the 9 Months Following the Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid only | Administrative | 100.0 | 49 | 54.1 | 45.1 | 59.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with 1 Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 | 2,022 | CHIP only | Administrative | 37.3 | 50 | 43 | 36.4 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." State reported the following deviations: Many of the ADHD medications are also used in the treatment of narcolepsy. In order to have a precise ADHD measure, children with narcolepsy were removed from the denominator and both indicators as specified under the optional exclusions for this measure. | No |
Alabama | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with at Least 2 Follow-Up Visits in the 9 Months Following the Initiation Phase: Ages 6 to 12 | 2,022 | CHIP only | Administrative | 49.8 | 49 | 54.1 | 45.1 | 59.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." State reported the following deviations: Many of the ADHD medications are also used in the treatment of narcolepsy. In order to have a precise ADHD measure, children with narcolepsy were removed from the denominator and both indicators as specified under the optional exclusions for this measure. | No |
Alabama | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose Testing: Ages 1 to 17 | 2,022 | Medicaid only | Administrative | 46.1 | 45 | 52.4 | 47.6 | 58.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid only | Administrative | 28.2 | 45 | 35.3 | 28.6 | 41.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose and Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid only | Administrative | 27.2 | 46 | 33.2 | 27.3 | 41.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose Testing: Ages 1 to 17 | 2,022 | CHIP only | Administrative | 49.1 | 45 | 52.4 | 47.6 | 58.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Cholesterol Testing: Ages 1 to 17 | 2,022 | CHIP only | Administrative | 27.7 | 45 | 35.3 | 28.6 | 41.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose and Cholesterol Testing: Ages 1 to 17 | 2,022 | CHIP only | Administrative | 24.9 | 46 | 33.2 | 27.3 | 41.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Behavioral Health Care | Child Core Set | Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APP-CH | Higher rates are better for this measure | Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17 | 2,022 | Medicaid only | Administrative | 62.6 | 47 | 62.6 | 58.6 | 67.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Behavioral Health Care | Child Core Set | Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APP-CH | Higher rates are better for this measure | Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17 | 2,022 | CHIP only | Administrative | 60.9 | 47 | 62.6 | 58.6 | 67.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19 | AMB-CH | Lower rates are better for this measure | Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19 | 2,022 | Medicaid only | Administrative | 32.9 | 46 | 31.9 | 36.2 | 26 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19 | AMB-CH | Lower rates are better for this measure | Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19 | 2,022 | CHIP only | Administrative | 20.7 | 46 | 31.9 | 36.2 | 26 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11 | 2,022 | Medicaid only | Administrative | 87.7 | 47 | 77.3 | 73.2 | 80.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18 | 2,022 | Medicaid only | Administrative | 83.0 | 47 | 68.8 | 64.8 | 72.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18 | 2,022 | Medicaid only | Administrative | 85.6 | 48 | 73.1 | 68.1 | 76.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11 | 2,022 | CHIP only | Administrative | 91.7 | 47 | 77.3 | 73.2 | 80.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18 | 2,022 | CHIP only | Administrative | 87.9 | 47 | 68.8 | 64.8 | 72.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18 | 2,022 | CHIP only | Administrative | 89.9 | 48 | 73.1 | 68.1 | 76.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Dental and Oral Health Services | Child Core Set | Oral Evaluation, Dental Services: Ages <1 through 20 | OEV-CH | Higher rates are better for this measure | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | 2,022 | Medicaid only | Administrative | 43.2 | 27 | 43.2 | 37.1 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Dental and Oral Health Services | Child Core Set | Oral Evaluation, Dental Services: Ages <1 through 20 | OEV-CH | Higher rates are better for this measure | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | 2,022 | CHIP only | Administrative | 55.5 | 27 | 43.2 | 37.1 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." State reported the following deviations: "The specifications note that this measure should utilize suspended, pending and denied claims as well as paid claims. Only paid claims are utilized in our calculation." | No |
Alabama | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthdate | 2,022 | Medicaid only | Administrative | 39.4 | 30 | 46.4 | 38.4 | 57.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received Sealants on All Four Permanent First Molars by their 10th Birthdate | 2,022 | Medicaid only | Administrative | 28.7 | 30 | 32.9 | 23.6 | 40 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthdate | 2,022 | CHIP only | Administrative | 43.0 | 30 | 46.4 | 38.4 | 57.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." State limited data to include children with a birth year of 2011. The specifications call for a 48 month look back if possible. The state looked back to 2018. | No |
Alabama | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received Sealants on All Four Permanent First Molars by their 10th Birthdate | 2,022 | CHIP only | Administrative | 0.0 | 30 | 32.9 | 23.6 | 40 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." State limited data to include children with a birth year of 2011. The specifications call for a 48 month look back if possible. The state looked back to 2018. | No |
Alabama | Dental and Oral Health Services | Child Core Set | Topical Fluoride for Children: Ages 1 through 20 | TFL-CH | Higher rates are better for this measure | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | 2,022 | Medicaid only | Administrative | 19.3 | 25 | 19.3 | 16.8 | 23.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Dental and Oral Health Services | Child Core Set | Topical Fluoride for Children: Ages 1 through 20 | TFL-CH | Higher rates are better for this measure | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | 2,022 | CHIP only | Administrative | 46.7 | 25 | 19.3 | 16.8 | 23.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid only | Administrative | 28.4 | 40 | 26.3 | 19.1 | 29.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid only | Administrative | 2.3 | 40 | 3.4 | 2.7 | 4.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20 | 2,022 | CHIP only | Administrative | 28.0 | 40 | 26.3 | 19.1 | 29.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria. We cannot identify this benefit, so it has been excluded. Only paid claims are utilized in our rule measure calculations. Suspended, pending, and denied claims are not included. | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20 | 2,022 | CHIP only | Administrative | 2.3 | 40 | 3.4 | 2.7 | 4.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria. We cannot identify this benefit, so it has been excluded. Only paid claims are utilized in our rule measure calculations. Suspended, pending, and denied claims are not included. | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid only | Administrative | 3.9 | 34 | 5.7 | 3.8 | 8.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid only | Administrative | 44.8 | 40 | 39.4 | 34.1 | 44.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid only | Administrative | 1.7 | 30 | 3.1 | 1.6 | 4.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid only | Administrative | 11.7 | 40 | 15.3 | 12.1 | 18 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | CHIP only | Administrative | DS | 34 | 5.7 | 3.8 | 8.5 | DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10. | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." State reported the following deviation: "The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria. We cannot identify this benefit, so it has been excluded." | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | CHIP only | Administrative | 46.9 | 40 | 39.4 | 34.1 | 44.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." State reported the following deviation: "The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria. We cannot identify this benefit, so it has been excluded." | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | CHIP only | Administrative | DS | 30 | 3.1 | 1.6 | 4.9 | DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10. | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." State reported the following deviation: "The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria. We cannot identify this benefit, so it has been excluded." | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | CHIP only | Administrative | DS | 40 | 15.3 | 12.1 | 18 | DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10. | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." State reported the following deviation: "The measure allows for a Family Planning Only Services benefit to be included in the continuous enrollment criteria. We cannot identify this benefit, so it has been excluded." | No |
Alabama | Maternal and Perinatal Health | Child Core Set | Live Births Weighing Less Than 2,500 Grams | LBW-CH | Lower rates are better for this measure | Percentage of Live Births that Weighed Less Than 2,500 Grams | 2,022 | Medicaid only | Administrative | 12.0 | 52 | 10.1 | 11.1 | 9.2 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Low-Risk Cesarean Delivery | LRCD-CH | Lower rates are better for this measure | Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean | 2,022 | Medicaid only | Administrative | 27.2 | 52 | 24.7 | 26.9 | 22.5 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Prenatal and Postpartum Care: Timeliness of Prenatal Care | PPC-CH | Higher rates are better for this measure | Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the enrollment start date, or within 42 Days of Enrollment in Medicaid or CHIP | 2,022 | Medicaid only | Administrative | 71.1 | 47 | 81.5 | 75.2 | 87.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rate was audited or validated. This measure is included in our Alabama Coordinated Healthcare Networks (ACHN) quality incentive payment structure, and has received particular attention by the ACHN Networks to whom these financial incentive payments are made. This substantial rate increase compared to previous years is largely due to the increased effort on the part of the ACHN Network Entities. | Yes |
Alabama | Maternal and Perinatal Health | Child Core Set | Prenatal and Postpartum Care: Timeliness of Prenatal Care | PPC-CH | Higher rates are better for this measure | Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the enrollment start date, or within 42 Days of Enrollment in Medicaid or CHIP | 2,022 | CHIP only | Administrative | 68.5 | 47 | 81.5 | 75.2 | 87.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." The rates for ALL Kids PPC are always lower than our final rates for other lines of business because we do not perform medical record review (hybrid) for any ALL Kids measures. | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11 | 2,022 | Medicaid only | Administrative | 53.9 | 49 | 54.2 | 49.8 | 60.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17 | 2,022 | Medicaid only | Administrative | 47.9 | 49 | 49 | 43.4 | 55.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21 | 2,022 | Medicaid only | Administrative | 18.9 | 49 | 22.5 | 19.9 | 30.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21 | 2,022 | Medicaid only | Administrative | 47.0 | 50 | 47.6 | 42.6 | 54.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11 | 2,022 | CHIP only | Administrative | 55.4 | 49 | 54.2 | 49.8 | 60.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17 | 2,022 | CHIP only | Administrative | 44.6 | 49 | 49 | 43.4 | 55.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21 | 2,022 | CHIP only | Administrative | 34.5 | 49 | 22.5 | 19.9 | 30.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21 | 2,022 | CHIP only | Administrative | 49.9 | 50 | 47.6 | 42.6 | 54.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday | 2,022 | Medicaid only | Administrative | 82.0 | 46 | 82 | 78.4 | 84.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage who had at Least Two Flu Vaccinations by their Second Birthday | 2,022 | Medicaid only | Administrative | 29.9 | 46 | 45.7 | 37.1 | 52.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage Up to Date on Immunizations (Combination 3) by their Second Birthday | 2,022 | Medicaid only | Administrative | 61.6 | 47 | 61.5 | 56.4 | 67.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage Up to Date on Immunizations (Combination 10) by their Second Birthday | 2,022 | Medicaid only | Administrative | 21.5 | 48 | 32.9 | 26.9 | 39.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday | 2,022 | CHIP only | Administrative | 92.5 | 46 | 82 | 78.4 | 84.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data and supplemental data, such as lab data and immunization registry data, were received for this measure." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage who had at Least Two Flu Vaccinations by their Second Birthday | 2,022 | CHIP only | Administrative | 49.8 | 46 | 45.7 | 37.1 | 52.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data and supplemental data, such as lab data and immunization registry data, were received for this measure." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage Up to Date on Immunizations (Combination 3) by their Second Birthday | 2,022 | CHIP only | Administrative | 80.2 | 47 | 61.5 | 56.4 | 67.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data and supplemental data, such as lab data and immunization registry data, were received for this measure." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage Up to Date on Immunizations (Combination 10) by their Second Birthday | 2,022 | CHIP only | Administrative | 42.6 | 48 | 32.9 | 26.9 | 39.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data and supplemental data, such as lab data and immunization registry data, were received for this measure." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Chlamydia Screening in Women Ages 16 to 20 | CHL-CH | Higher rates are better for this measure | Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20 | 2,022 | Medicaid only | Administrative | 13.4 | 49 | 47.2 | 42.7 | 58.1 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Alabama Medicaid Policy stipulates that when chlamydia and gonorrhea are tested on the same date visit, the CPT Code 87801 is to be used. This code is not in the HEDIS Value Set and is not included for reporting. If this code were to be included, Alabama rates would more than double. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Chlamydia Screening in Women Ages 16 to 20 | CHL-CH | Higher rates are better for this measure | Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20 | 2,022 | CHIP only | Administrative | 36.7 | 49 | 47.2 | 42.7 | 58.1 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Developmental Screening in the First Three Years of Life: Ages 0 to 3 | DEV-CH | Higher rates are better for this measure | Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3 | 2,022 | Medicaid only | Administrative | 34.7 | 37 | 34.7 | 27.3 | 51.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rate includes FFS and PCCM populations. State reported that the rate excludes the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Developmental Screening in the First Three Years of Life: Ages 0 to 3 | DEV-CH | Higher rates are better for this measure | Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3 | 2,022 | CHIP only | Administrative | 43.6 | 37 | 34.7 | 27.3 | 51.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rate includes FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP Claims Data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Completing the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday | 2,022 | Medicaid only | Administrative | 41.3 | 47 | 35 | 31.5 | 40.8 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Administrative data sources are claims/encounters and state immunization registry. Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Receiving Meningococcal Conjugate and Tdap Vaccines (Combination 1) by Their 13th Birthday | 2,022 | Medicaid only | Administrative | 78.6 | 46 | 75.2 | 68.3 | 82.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Administrative data sources are claims/encounters and state immunization registry. Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Completing the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday | 2,022 | CHIP only | Administrative | 35.7 | 47 | 35 | 31.5 | 40.8 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Receiving Meningococcal Conjugate and Tdap Vaccines (Combination 1) by Their 13th Birthday | 2,022 | CHIP only | Administrative | 76.9 | 46 | 75.2 | 68.3 | 82.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Body Mass Index Percentile Documentation: Ages 3 to 17 | 2,022 | Medicaid only | Administrative | 95.1 | 44 | 71.9 | 59.1 | 81 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Nutrition: Ages 3 to 17 | 2,022 | Medicaid only | Administrative | 23.0 | 43 | 63.6 | 36.7 | 74.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Physical Activity: Ages 3 to 17 | 2,022 | Medicaid only | Administrative | 21.5 | 43 | 58.4 | 35.5 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Body Mass Index Percentile Documentation: Ages 3 to 17 | 2,022 | CHIP only | Administrative | 75.8 | 44 | 71.9 | 59.1 | 81 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Nutrition: Ages 3 to 17 | 2,022 | CHIP only | Administrative | 35.1 | 43 | 63.6 | 36.7 | 74.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Physical Activity: Ages 3 to 17 | 2,022 | CHIP only | Administrative | 32.6 | 43 | 58.4 | 35.5 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life | 2,022 | Medicaid only | Administrative | 54.6 | 48 | 57.5 | 51.3 | 61 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life | 2,022 | Medicaid only | Administrative | 64.8 | 48 | 65.1 | 60.4 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Medicaid rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." Rates were audited or validated. | Yes |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life | 2,022 | CHIP only | Administrative | 77.5 | 48 | 57.5 | 51.3 | 61 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alabama | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life | 2,022 | CHIP only | Administrative | 84.4 | 48 | 65.1 | 60.4 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | CHIP rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Separate CHIP claims data." | No |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Ages 13 to 17 | FUA-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Alcohol and Other Drug Abuse or Dependence with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17 | 2,022 | Medicaid & CHIP | Administrative | DS | 25 | 10.6 | 6 | 16.3 | DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10. | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | No |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 26.8 | 40 | 54.6 | 46.2 | 65.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 44.5 | 40 | 72.7 | 63.6 | 76.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 8.0 | 48 | 47.9 | 40.1 | 57.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 16.8 | 48 | 70.4 | 62.1 | 79.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with 1 Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid & CHIP | Administrative | 74.0 | 50 | 43 | 36.4 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with at Least 2 Follow-Up Visits in the 9 Months Following the Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid & CHIP | Administrative | 51.6 | 49 | 54.1 | 45.1 | 59.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 45.0 | 45 | 52.4 | 47.6 | 58.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 28.4 | 45 | 35.3 | 28.6 | 41.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose and Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 27.3 | 46 | 33.2 | 27.3 | 41.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. This measure analyzes a small target population which results in fluctuation in the rates from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Behavioral Health Care | Child Core Set | Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APP-CH | Higher rates are better for this measure | Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 52.0 | 47 | 62.6 | 58.6 | 67.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. This measure analyzes a small target population which results in fluctuation in the rate from year to year. There might be some undercount due to timely filing lag. | Yes |
Alaska | Care of Acute and Chronic Conditions | Child Core Set | Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19 | AMB-CH | Lower rates are better for this measure | Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19 | 2,022 | Medicaid & CHIP | Administrative | 20.5 | 46 | 31.9 | 36.2 | 26 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. There might be some underreporting due to timely filing lag. | Yes |
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2022 Child and Adult Health Care Quality Measures Quality
Description
Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2022 reporting.
Source: Mathematica analysis of MACPro and Form CMS-416 reports for the FFY 2022 reporting cycle. Dataset revised September 2023. For more information, see the Children's Health Care Quality Measures and Adult Health Care Quality Measures webpages.
Dataset Details
- Publisher: Centers for Medicare & Medicaid Services
- Last Modified: 2023-09-11
- Contact: Medicaid.gov ([email protected])
Source
Original data can be found at: https://healthdata.gov/d/8t3i-7tqn
Usage
You can load this dataset using:
from datasets import load_dataset
dataset = load_dataset('HHS-Official/2022-child-and-adult-health-care-quality-measures')
License
This dataset is licensed under http://opendefinition.org/licenses/odc-odbl/
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