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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
200 | HC.102 | WA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.642 | higher | 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 | true | percent | 48 | 0.515 | null | 0.871 | 0.166 | 0.425 | 0.609 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
201 | HC.102 | WA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.777 | higher | 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 | true | percent | 48 | 0.696 | null | 0.911 | 0.244 | 0.618 | 0.76 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
202 | HC.102 | WV | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.422 | higher | 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 | true | percent | 48 | 0.515 | null | 0.871 | 0.166 | 0.425 | 0.609 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Medicaid Enterprise Data Solution (EDS)." Rates were audited or validated. The logic includes the following allowable adjustments: This measure evaluates only the first two events to meet the allowable adjustment criteria. The age groups were defined by end of measurement period. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
203 | HC.102 | WV | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.663 | higher | 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 | true | percent | 48 | 0.696 | null | 0.911 | 0.244 | 0.618 | 0.76 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Medicaid Enterprise Data Solution (EDS)." Rates were audited or validated. The logic includes the following allowable adjustments: This measure evaluates only the first two events to meet the allowable adjustment criteria. The age groups were defined by end of measurement period. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
204 | HC.102 | WV | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.354 | higher | 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 | true | percent | 48 | 0.515 | null | 0.871 | 0.166 | 0.425 | 0.609 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "West Virginia CHIP FFS population." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Based Systems." Rates were audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
205 | HC.102 | WV | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.604 | higher | 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 | true | percent | 48 | 0.696 | null | 0.911 | 0.244 | 0.618 | 0.76 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "West Virginia CHIP FFS population." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Based Systems." Rates were audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
206 | HC.102 | WI | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.427 | higher | 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 | true | percent | 48 | 0.515 | null | 0.871 | 0.166 | 0.425 | 0.609 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (14 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
207 | HC.102 | WI | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.61 | higher | 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 | true | percent | 48 | 0.696 | null | 0.911 | 0.244 | 0.618 | 0.76 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (14 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
208 | HC.102 | WY | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.43 | higher | 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 | true | percent | 48 | 0.515 | null | 0.871 | 0.166 | 0.425 | 0.609 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
209 | HC.102 | WY | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.668 | higher | 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 | true | percent | 48 | 0.696 | null | 0.911 | 0.244 | 0.618 | 0.76 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
210 | HC.104 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.425 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
211 | HC.104 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.547 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes FFS population. The state described the "other" data source used to calculate the measure as the following: "Merative Health Insights database." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
212 | HC.104 | AK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.421 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. State noted: "There might be slight underreporting due to timely filing lag." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
213 | HC.104 | AZ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.45 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
214 | HC.104 | AR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.492 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes "other" population (Arkansas Medicaid Expansion). State reported that the rate excludes the following populations: "Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rate was audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had dental benefits." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
215 | HC.104 | CA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.381 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (6 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
216 | HC.104 | CT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.483 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
217 | HC.104 | DE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.201 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
218 | HC.104 | FL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.345 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (7 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
219 | HC.104 | GA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.421 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: "Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population." The state described the "other" data sources used to calculate the measure as the following: "The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
220 | HC.104 | HI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.483 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (5 MCOs). The state described the "other" data source used to calculate the measure as the following: "Dental third party administrator (TPA)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
221 | HC.104 | ID | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.488 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
222 | HC.104 | IN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.404 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
223 | HC.104 | IA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.43 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (2 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
224 | HC.104 | KS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.454 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Reported Data." Rate is provisional. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
225 | HC.104 | LA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.456 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
226 | HC.104 | ME | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.281 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: "Results include only paid claims, deviating from measure specifications which call for inclusion of all paid, suspended, pending, and denied claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
227 | HC.104 | MD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.5 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (9 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
228 | HC.104 | MA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.525 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate also includes "other" delivery system (MassHealth Primary Care Accountable Care Organizations). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
229 | HC.104 | MS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.317 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed Care Health Plan Reporting." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
230 | HC.104 | MO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.315 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
231 | HC.104 | NE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.459 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (1 MCO). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
232 | HC.104 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.396 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes "other" delivery system (Prepaid Ambulatory Health Plan [PHAP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
233 | HC.104 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.501 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes "other" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
234 | HC.104 | NJ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.48 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "American Dental Association/Dental Quality Alliance (ADA/DQA) measurement year 2022 administrative collection method submitted by the MCOs." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
235 | HC.104 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.475 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
236 | HC.104 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.562 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes FFS population. Rate was audited or validated. State noted: "North Carolina Health Choice Children includes ages 6 through 18." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
237 | HC.104 | ND | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.308 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
238 | HC.104 | OK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.414 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
239 | HC.104 | OR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.389 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (16 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
240 | HC.104 | PA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.469 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by managed care plans and compiled by EQRO." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
241 | HC.104 | PR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.366 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (4 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
242 | HC.104 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.423 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (1 MCO). State reported that the rate excludes the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
243 | HC.104 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.478 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (5 MCOs). State noted: "Population restricted to full Medicaid beneficiaries enrolled in MCO plan." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
244 | HC.104 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.393 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
245 | HC.104 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.424 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
246 | HC.104 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.628 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Dental encounter and enrollment data." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
247 | HC.104 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.645 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Dental encounters and enrollment data." Rate was audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
248 | HC.104 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.461 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
249 | HC.104 | VA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.464 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (6 MCOs). The state described the "other" data sources used to calculate the measure as the following: "The data source is claims data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
250 | HC.104 | WA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.522 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
251 | HC.104 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.425 | higher | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | true | percent | 38 | 0.428 | null | 0.628 | 0.201 | 0.393 | 0.478 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
252 | HC.105 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.189 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
253 | HC.105 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.472 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes FFS population. The state described the "other" data source used to calculate the measure as the following: "Merative Health Insights database." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
254 | HC.105 | AK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.187 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. State noted: "There might be some undercount due to timely filing lag." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
255 | HC.105 | AZ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.2 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
256 | HC.105 | AR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.227 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes "other" population (Medicare-Medicaid Dual Eligible). State reported that the rate excludes the following populations: "Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rate was audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had dental benefits." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
257 | HC.105 | CA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.182 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
258 | HC.105 | CT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.236 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
259 | HC.105 | DE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.033 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
260 | HC.105 | FL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.141 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (7 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
261 | HC.105 | GA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.194 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). State reported that the rate excludes the following populations: "Fee-For-Service population is excluded. Measure is based solely on data for the Managed Care Organization population." The state described the "other" data sources used to calculate the measure as the following: "The state's EQRO uses the data from the performance measure validation (PMV) audits that the EQRO conducts for the care management organizations (CMOs), which is based on the CMOs' claims/encounter, supplemental, and enrollment data." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
262 | HC.105 | HI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.23 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (5 MCOs). The state described the "other" data source used to calculate the measure as the following: "Dental third party administrator (TPA)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
263 | HC.105 | ID | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.228 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (1 MCO). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
264 | HC.105 | IN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.154 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
265 | HC.105 | IA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.19 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (2 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
266 | HC.105 | KS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.237 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Reported Data." Rate is provisional. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
267 | HC.105 | LA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.16 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
268 | HC.105 | ME | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.118 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and ICM populations. State reported the following deviations: "Results include only paid claims, deviating from measure specifications which call for inclusion of all paid, suspended, pending, and denied claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
269 | HC.105 | MD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.252 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (9 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
270 | HC.105 | MA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.468 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes PCCM and managed care populations (15 MCOs). Rate also includes "other" delivery system (MassHealth Primary Care Accountable Care Organizations). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
271 | HC.105 | MO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.101 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
272 | HC.105 | NE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.224 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (1 MCO). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
273 | HC.105 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.163 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes "other" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
274 | HC.105 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.241 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes "other" delivery system (Prepaid Ambulatory Health Plan [PAHP] acting as Nevada Medicaid's Dental Benefits Administrator). Rate was audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
275 | HC.105 | NJ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.194 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "American Dental Association/Dental Quality Alliance (ADA/DQA) measurement year 2022 administrative collection method submitted by the MCOs." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
276 | HC.105 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.239 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
277 | HC.105 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.279 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes FFS and managed care populations (5 MCOs). Rate was audited or validated. State noted: "North Carolina Health Choice Children includes ages 6 through 18." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
278 | HC.105 | ND | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.128 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
279 | HC.105 | OK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.18 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
280 | HC.105 | OR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.181 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (16 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
281 | HC.105 | PA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.193 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by managed care plans and compiled by EQRO." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
282 | HC.105 | PR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.077 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). The state described the "other" data source used to calculate the measure as the following: "MCOs reported data." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
283 | HC.105 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.175 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (1 MCO). State reported that the rate excludes the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs) or Pre-paid Ambulatory Health Plans (PAHP)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
284 | HC.105 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.228 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (5 MCOs). State noted: "Population restricted to full Medicaid beneficiaries enrolled in MCO plan. The FFY 2023/ calendar year (CY) 2022 rates were generated using claims and encounter data and improved with an external Provider file with taxonomy codes. More provider taxonomy information went into the CY 2022 calculations from the external Provider dataset and hence, the CY 2022 rates are better estimates." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
285 | HC.105 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.167 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
286 | HC.105 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.186 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (3 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
287 | HC.105 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.333 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Dental encounter and enrollment data." Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
288 | HC.105 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.362 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Dental encounter and enrollment data." Rate was audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
289 | HC.105 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.224 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
290 | HC.105 | VA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.334 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (6 MCOs). The state described the "other" data sources used to calculate the measure as the following: "The data source is claims data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
291 | HC.105 | WA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.225 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (5 MCOs). State reported that the rate excludes the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims and denied lines from otherwise accepted encounters." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
292 | HC.105 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.172 | higher | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | true | percent | 37 | 0.19 | null | 0.468 | 0.033 | 0.167 | 0.228 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
293 | HC.107 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.914 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
294 | HC.107 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.553 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rate includes FFS population. The state described the "other" data source used to calculate the measure as the following: "Separate CHIP claims data." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
295 | HC.107 | AK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.836 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS population. State noted: "There is some underreporting due to timely filing lag." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
296 | HC.107 | AZ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.675 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes managed care population (12 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
297 | HC.107 | AR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.602 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS, PCCM, and managed care populations (3 MCOs). Rate also includes "other" population (Medicare-Medicaid Dual Eligible). State reported that the rate excludes the following populations: "Dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rate was audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had medical benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. The delivery system populations were determined using enrollment data as of the latest diagnosis during the measurement period." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
298 | HC.107 | CA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.602 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rate includes FFS and managed care populations (25 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
299 | HC.107 | CO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.854 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 3 Months to 17 Years | true | percent | 44 | 0.714 | null | 0.952 | 0.276 | 0.64 | 0.819 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rate includes FFS, PCCM, and managed care populations (2 MCOs). Rate was audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
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