Measure Qualifications: This measure has been modified to remove consideration of the metropolitan or county Please note: area and instead will monitor the attributed DSRIP population. The following link(s) may be used to obtain additional information regarding the original measure specifications. This is provided without assurances: Measure Collection Description Setting of Care: Reporting Period: Inpatient or Emergency Department Annual; April Experience Period: Baseline Period: 12 month period CY 2017 01 Inpatient Hospital Claim Type(s): – 09 Supplies, DME 16 Lab – – 02 Long Term Care – 10 Podiatry 17 Prosthetic and Orthotics – – 03 Outpatient Hospital – 11 Dental 18 Independent Clinic – – 01, 14 04 Physician – 12 Pharmacy 19 Psychologists – – Chiropractor 05 – 13 EPDST/Healthstart 21 Optometrists – – 06 Home Health – 14 Institutional Crossover 22 Mid Level Practitioner – – 07 Transportation – Professional Crossover Hearing Aid 15 23 – – 08 Vision – No No No Continuous Eligibility Period: Risk Adjustment: Sampling: Continuous Eligibility/ Risk Adjustment/ Sampling Methodology: N/A DSRIP Incentive Impact Project Title: Project Code: Payment Method: NA NA NA Universal Measure: Universal Code: Payment Method: No NA NA Stage 1 Measure: Code: Payment Method: Yes NA P4R Measure: DSRIP #: 105 Adults’ Access to Preventive/Ambulatory Health Services Measure Description: The percentage of members 20 years and older who had an ambulatory or preventive care visit. Report 3 age range stratifications and the total, ages 20-44, 45-64 and 65+ years of age. Data Source: NQF #: MMIS Not Found Measure Steward: Measure Steward Version: NCQA 2017 Measure Calculation Description Numerator:
Measure Qualifications: Please note: This measure has been modified to remove consideration of the metropolitan or county area and instead will monitor the attributed DSRIP population. The following link(s) may be used to obtain additional information regarding the original measure specifications. This is provided without assurances: Measure Collection Description Setting of Care: Inpatient or Emergency Department Reporting Period: Annual; April Experience Period: 12 month period Baseline Period: CY 2017 Claim Type(s): 01, 14 01 – Inpatient Hospital 02 – Long Term Care 03 – Outpatient Hospital 04 – Physician 05 – Chiropractor 06 – Home Health 07 – Transportation 08 – Vision 09 – Supplies, DME 10 – Podiatry 11 – Dental 12 – Pharmacy 13 – EPDST/Healthstart 14 – Institutional Crossover 15 – Professional Crossover 16 – Lab 17 – Prosthetic and Orthotics 18 – Independent Clinic 19 – Psychologists 21 – Optometrists 22 – Mid Level Practitioner 23 – Hearing Aid Continuous Eligibility Period: No Risk Adjustment: No Sampling: No Continuous Eligibility/ Risk Adjustment/ Sampling Methodology: N/A DSRIP Incentive Impact Project Title: NA Project Code: NA Payment Method: NA Universal Measure: No Universal Code: NA Payment Method: NA Stage 1 Measure: Yes Code: NA Payment Method: P4R Measure: Adults’ Access to Preventive/Ambulatory Health Services DSRIP #: 105 Measure Description: The percentage of members 20 years and older who had an ambulatory or preventive care visit. Report 3 age range stratifications and the total, ages 20-44, 45-64 and 65+ years of age. Data Source: MMIS NQF #: Not Found Measure Steward: NCQA Measure Steward Version: 2017 Measure Calculation Description Numerator:
Addendum%20to%20Databook%20-%20DY7%20-%20DY8%20Stage%201%20System%20Transformation%20Measure%20Update.docx