Female Ethnicity: Providers may define the denominator population such that it is limited to one of the following options: Black/African American Latino/Hispanic American Indian/Alaskan Native Native Hawaiian/Other Pacific Islander Age: Providers may define the denominator population such that it is limited to an age range: Lower Bound: ____ (Provider defined) Upper Bound: ____ (Provider defined) Comorbid Condition: Providers may define the denominator population such that it is limited to individuals with one or more comorbid conditions: Comorbid condition: ______________ (Provider defined) Setting/Location: Providers may define the denominator population such that it is limited to individuals receiving services in a specific setting or service delivery location(s). Service Setting/Delivery Location(s): ______________ (Provider defined) Demonstration Years DY3 DY4 DY5 10/01/13 09/30/14 10/01/14 10/01/15 09/30/16 – – – 09/30/15 Measurement Periods for one of the Providers must Providers must report following DY, SFY, or report data across a data across a (Note: For P4P measures, CY time periods: time period time period DY3 Measurement Period 12 Period: that meets the that meets the is equivalent to the 10/01/13 following following parameters: – Baseline Period for 09/30/14, or parameters: 1. Start date: The start purposes of measuring 09/01/13 1. Start date: The date for the reporting – improvement.) 08/31/14, or start date for the period must occur 01/01/13 reporting period after the provider’s – 12/31/13, or must occur after the DY4 Measurement 10/01/12 provider’s DY3 Period. – 09/30/13, or Measurement 2. End date: The end 09/01/12 Period. date for the reporting – 08/31/13 2. End date: The end period must occur on 6 Month Period: date for the or before 09/30/16.
Female Ethnicity: Providers may define the denominator population such that it is limited to one of the following options: Black/African American Latino/Hispanic American Indian/Alaskan Native Native Hawaiian/Other Pacific Islander Age: Providers may define the denominator population such that it is limited to an age range: Lower Bound: ____ (Provider defined) Upper Bound: ____ (Provider defined) Comorbid Condition: Providers may define the denominator population such that it is limited to individuals with one or more comorbid conditions: Comorbid condition: ______________ (Provider defined) Setting/Location: Providers may define the denominator population such that it is limited to individuals receiving services in a specific setting or service delivery location(s). Service Setting/Delivery Location(s): ______________ (Provider defined) Demonstration Years DY3 10/01/13 – 09/30/14 DY4 10/01/14 – 09/30/15 DY5 10/01/15 – 09/30/16 Measurement Periods (Note: For P4P measures, DY3 Measurement Period is equivalent to the Baseline Period for purposes of measuring improvement.) for one of the following DY, SFY, or CY time periods: 12 Period: 10/01/13 – 09/30/14, or 09/01/13 – 08/31/14, or 01/01/13 – 12/31/13, or 10/01/12 – 09/30/13, or 09/01/12 – 08/31/13 6 Month Period: Providers must report data across a time period that meets the following parameters: 1. Start date: The start date for the reporting period must occur after the provider’s DY3 Measurement Period. 2. End date: The end date for the Providers must report data across a time period that meets the following parameters: 1. Start date: The start date for the reporting period must occur after the provider’s DY4 Measurement Period. 2. End date: The end date for the reporting period must occur on or before 09/30/16.