id
int64 | measure_id
string | state_abbreviation
string | strat_tier1_label
string | strat_tier1_value
string | strat_tier1_order
float64 | strat_tier2_label
string | strat_tier2_value
string | strat_tier2_order
float64 | strat_tier3_label
float64 | strat_tier3_value
float64 | strat_tier3_order
float64 | group_tier1_label
float64 | group_tier1_value
float64 | group_tier1_order
float64 | cat_label
float64 | cat_order
float64 | cat_value
float64 | data_period
int64 | population
string | methodology
string | measure_value
float64 | values_direction
string | value_type
string | value_type_is_default
bool | value_indicator
string | number_of_states_reporting
int64 | median
float64 | mean
float64 | max_value
float64 | min_value
float64 | bottom_quartile
float64 | top_quartile
float64 | value_label
string | analysis_source
string | notes
string | notes_visualization
float64 | default_multi
int64 | default_single
int64 | legend_order
float64 | map_category
float64 | value_order
int64 | alt_bin1
float64 | alt_bin2
float64 | alt_bin3
float64 | alt_bin4
float64 | alt_bin5
float64 | alt_bin6
float64 | alt_bin_desc12
float64 | alt_bin_desc23
float64 | alt_bin_desc34
float64 | alt_bin_desc45
float64 | alt_bin_desc56
float64 | value_type_category
string | group_tier2_label
float64 | group_tier2_value
float64 | group_tier2_order
float64 | stratifications_id
int64 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5,600 | HC.98 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.263 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 (3 MCOs). State reported that rates exclude 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)." Rates were audited or validated. State noted: "The Ages 50 to 64 rate includes all individuals age 50 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,601 | HC.98 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.517 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 (3 MCOs). State reported that rates exclude 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)." Rates were audited or validated. State noted: "The Ages 50 to 64 rate includes all individuals age 50 and older. The State of Rhode Island does not have breakouts for additional age groups for this measure." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,602 | HC.98 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.124 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 |
5,603 | HC.98 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.208 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 (5 MCOs). State noted: "The denominator includes the CHIP population ages 18 to 21. 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 |
5,604 | HC.98 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.123 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 | 161 |
5,605 | HC.98 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.276 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 | 161 |
5,606 | HC.98 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.207 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 (4 MCOs). Rates were audited or validated. State reported the following deviations: "This measure was calculated based on NCQA specifications. NCQA specifications only include age groups 46 to 49 and 50 to 75. Therefore the rate reported for ages 50 to 64 is for all members age 50 and older." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,607 | HC.98 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.453 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 (4 MCOs). Rates were audited or validated. State reported the following deviations: "This measure was calculated based on NCQA specifications. NCQA specifications only include age groups 46 to 49 and 50 to 75. Therefore the rate reported for ages 50 to 64 is for all members age 50 and older." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,608 | HC.98 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.145 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." 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 | 161 |
5,609 | HC.98 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.257 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." 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 | 161 |
5,610 | HC.98 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.158 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: "Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,611 | HC.98 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.316 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). State noted: "Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,612 | HC.98 | WA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.171 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,613 | HC.98 | WA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.36 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,614 | HC.98 | WV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.143 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 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)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,615 | HC.98 | WV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.256 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 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)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,616 | HC.98 | WI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.192 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 (14 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims System." Rate was audited or validated. State noted: "The state is reporting ages 46 to 49, as ages 50 to 64 and 65 to 75 are not available." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,617 | HC.98 | WI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | null | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | Not Reported | 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 (14 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims System." Rate was audited or validated. State noted: "The state is reporting ages 46 to 49, as ages 50 to 64 and 65 to 75 are not available." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,618 | HC.98 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.062 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 46 to 49 | true | percent | 42 | 0.191 | null | 0.391 | 0.062 | 0.151 | 0.205 | 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 | 161 |
5,619 | HC.98 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.077 | higher | Percentage who had Appropriate Screening for Colorectal Cancer: Ages 50 to 64 | true | percent | 37 | 0.364 | null | 0.517 | 0.077 | 0.301 | 0.428 | 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 | 161 |
5,620 | HC.99 | AL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.756 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 noted: "Since Medicare claims are unavailable, Alabama Medicaid Agency recipients who are dually enrolled in Medicaid and Medicare are excluded from the eligible population." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,621 | HC.99 | AZ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.438 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (14 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 |
5,622 | HC.99 | AR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Other | Administrative | 0.343 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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" populations (Arkansas Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that the rate excludes the following populations: "Dual eligibles identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." The state described the "other" data sources used to calculate the measure as the following: "Qualified Health Plans (QHP) provider and claims data." 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 |
5,623 | HC.99 | CA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.41 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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. State noted: "Denominator does not include Medicare and Medicaid Dually-Eligible population because the data are incomplete – no Medicare Part C." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,624 | HC.99 | CO | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.639 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (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 |
5,625 | HC.99 | CT | 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 Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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. 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 |
5,626 | HC.99 | DE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.339 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (2 MCOs). State reported that the rate excludes the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." 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 |
5,627 | HC.99 | DC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.557 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 reported that the rate excludes the following populations: "The FFS population is excluded from this measure. Only data on the managed care population (ages 18 to 64) were available for this measure." The state described the "other" data source used to calculate the measure as the following: "DHCF reports this measure using MCO data only. The source of administrative data is the MCO data systems." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,628 | HC.99 | FL | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.433 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (13 MCOs). State reported that the rate excludes the following populations: "FFS population." The state described the "other" data sources used to calculate the measure as the following: "Data submitted by health plan." 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 |
5,629 | HC.99 | GA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.403 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 care management organizations' (CMOs') audited Interactive Data Submission System (IDSS) submissions as well as the performance measure rates from the performance measure validation (PMV) audits that the EQRO conducts for the 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 |
5,630 | HC.99 | IN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.408 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,631 | HC.99 | IA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.607 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). 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 |
5,632 | HC.99 | KS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.472 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). 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 |
5,633 | HC.99 | KY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.337 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (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 |
5,634 | HC.99 | LA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.33 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 |
5,635 | HC.99 | ME | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.568 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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: "The MaineCare measures engine only includes paid claims for this measure." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,636 | HC.99 | MD | 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 Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 |
5,637 | HC.99 | MA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.566 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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, ICM, and managed care populations (15 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 |
5,638 | HC.99 | MI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.597 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). The state described the "other" data sources used to calculate the measure as the following: "State of Michigan Data Warehouse (contains copy of MMIS data)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,639 | HC.99 | MS | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.518 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 |
5,640 | HC.99 | NE | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.413 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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: "Health Plan Claim System." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,641 | HC.99 | NV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.857 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). State noted: "Significant increase due to additional contracted MCO effective 1/1/2022." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,642 | HC.99 | NH | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.495 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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: "FFS excluded." The state described the "other" data sources used to calculate the measure as the following: "The Managed Care Organization's data is from their claims system." Rate was audited or validated. State noted: "Medicaid enrollment continued to increase due to the population's Medicaid eligibility still being protected in 2022 under the ongoing public health emergency (PHE). Medicare and Medicaid Dually eligible population was excluded." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,643 | HC.99 | NJ | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.372 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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: "HEDIS 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 |
5,644 | HC.99 | NM | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.42 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 audited HEDIS." Rate was audited or validated. State noted: "The data reported is an aggregate total of all 3 MCOs' administrative data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,645 | HC.99 | NY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.436 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (24 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed Care health plan billing 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 |
5,646 | HC.99 | NC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.535 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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. State noted: "Ages 18 to 64 were captured in this measure. The denominator for this measure contains NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,647 | HC.99 | ND | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.572 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). 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 |
5,648 | HC.99 | OH | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.394 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 reported that the rate excludes the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care 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 |
5,649 | HC.99 | OK | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.418 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 |
5,650 | HC.99 | PA | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.505 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (7 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. State noted: "There are no Medicare or dual-eligibles included in the Pennsylvania HealthChoices managed care program." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,651 | HC.99 | PR | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.504 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 |
5,652 | HC.99 | RI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.327 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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: "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)." 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 |
5,653 | HC.99 | SC | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.35 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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: "The denominator includes the CHIP population ages 18 to 21. 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 |
5,654 | HC.99 | SD | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.539 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 |
5,655 | HC.99 | TN | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid, CHIP, & Dual Eligibles | Administrative | 0.363 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). 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 |
5,656 | HC.99 | TX | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid | Administrative | 0.423 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." 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 |
5,657 | HC.99 | VT | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.437 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). Rate was audited or validated. State noted: "Department of Vermont Health Access's External Quality Review Organization advised to report Medicaid Primary for administrative measures." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,658 | HC.99 | WA | 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 Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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). 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 |
5,659 | HC.99 | WV | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | 0.634 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Based Systems and State's Medicaid Enterprise Data Solution (EDS)." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 161 |
5,660 | HC.99 | WI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.484 | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | 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 (14 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." 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 |
5,661 | HC.99 | WY | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & Dual Eligibles | Administrative | null | higher | Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64 | true | percent | 41 | 0.436 | null | 0.857 | 0.327 | 0.403 | 0.539 | Data Suppressed | 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 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.