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Alaska | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11 | 2,022 | Medicaid & CHIP | Administrative | 82.1 | 47 | 77.3 | 73.2 | 80.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. CY2020 numbers adhered to events occurring in the reporting year only. | Yes |
Alaska | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18 | 2,022 | Medicaid & CHIP | Administrative | 74.5 | 47 | 68.8 | 64.8 | 72.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. CY2020 numbers adhered to events occurring in the reporting year only. | Yes |
Alaska | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18 | 2,022 | Medicaid & CHIP | Administrative | 78.0 | 48 | 73.1 | 68.1 | 76.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. CY2020 numbers adhered to events occurring in the reporting year only. | Yes |
Alaska | Dental and Oral Health Services | Child Core Set | Oral Evaluation, Dental Services: Ages <1 through 20 | OEV-CH | Higher rates are better for this measure | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | 2,022 | Medicaid & CHIP | Administrative | 42.6 | 27 | 43.2 | 37.1 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. | Yes |
Alaska | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthdate | 2,022 | Medicaid & CHIP | Administrative | 54.3 | 30 | 46.4 | 38.4 | 57.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There might be some undercount due to timely filing lag. | Yes |
Alaska | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received Sealants on All Four Permanent First Molars by their 10th Birthdate | 2,022 | Medicaid & CHIP | Administrative | 34.7 | 30 | 32.9 | 23.6 | 40 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There might be some undercount due to timely filing lag. | Yes |
Alaska | Dental and Oral Health Services | Child Core Set | Topical Fluoride for Children: Ages 1 through 20 | TFL-CH | Higher rates are better for this measure | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | 2,022 | Medicaid & CHIP | Administrative | 15.3 | 25 | 19.3 | 16.8 | 23.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 19.6 | 40 | 26.3 | 19.1 | 29.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 5.1 | 40 | 3.4 | 2.7 | 4.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 8.5 | 34 | 5.7 | 3.8 | 8.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 31.1 | 40 | 39.4 | 34.1 | 44.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 6.7 | 30 | 3.1 | 1.6 | 4.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 17.0 | 40 | 15.3 | 12.1 | 18 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Live Births Weighing Less Than 2,500 Grams | LBW-CH | Lower rates are better for this measure | Percentage of Live Births that Weighed Less Than 2,500 Grams | 2,022 | Medicaid only | Administrative | 7.9 | 52 | 10.1 | 11.1 | 9.2 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Low-Risk Cesarean Delivery | LRCD-CH | Lower rates are better for this measure | Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean | 2,022 | Medicaid only | Administrative | 18.6 | 52 | 24.7 | 26.9 | 22.5 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
Alaska | Maternal and Perinatal Health | Child Core Set | Prenatal and Postpartum Care: Timeliness of Prenatal Care | PPC-CH | Higher rates are better for this measure | Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the enrollment start date, or within 42 Days of Enrollment in Medicaid or CHIP | 2,022 | Medicaid & CHIP | Administrative | 32.7 | 47 | 81.5 | 75.2 | 87.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11 | 2,022 | Medicaid & CHIP | Administrative | 31.1 | 49 | 54.2 | 49.8 | 60.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17 | 2,022 | Medicaid & CHIP | Administrative | 30.0 | 49 | 49 | 43.4 | 55.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21 | 2,022 | Medicaid & CHIP | Administrative | 9.1 | 49 | 22.5 | 19.9 | 30.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21 | 2,022 | Medicaid & CHIP | Administrative | 27.1 | 50 | 47.6 | 42.6 | 54.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Chlamydia Screening in Women Ages 16 to 20 | CHL-CH | Higher rates are better for this measure | Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20 | 2,022 | Medicaid & CHIP | Administrative | 43.2 | 49 | 47.2 | 42.7 | 58.1 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. There might be some underreporting due to claims timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Developmental Screening in the First Three Years of Life: Ages 0 to 3 | DEV-CH | Higher rates are better for this measure | Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3 | 2,022 | Medicaid & CHIP | Administrative | 3.5 | 37 | 34.7 | 27.3 | 51.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS population. Alaska Medicaid providers use code 96110 to bill for different types of developmental screening that might include the ASQ-SE and the M-CHAT, because AK Medicaid does not yet have policy to use a modifier to identify when one of the eight NQF endorsed standardized screening tools has been ... | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Completing the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday | 2,022 | Medicaid & CHIP | Administrative | 3.7 | 47 | 35 | 31.5 | 40.8 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There might be slight underreporting due to timely filing lag. This measure does not include the NDC codes associated with Rx vaccination. This likely lowered the numerator counts for this measure. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Receiving Meningococcal Conjugate and Tdap Vaccines (Combination 1) by Their 13th Birthday | 2,022 | Medicaid & CHIP | Administrative | 10.3 | 46 | 75.2 | 68.3 | 82.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There might be slight underreporting due to timely filing lag. This measure does not include the NDC codes associated with Rx vaccination. This likely lowered the numerator counts for this measure. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Body Mass Index Percentile Documentation: Ages 3 to 17 | 2,022 | Medicaid & CHIP | Administrative | 5.3 | 44 | 71.9 | 59.1 | 81 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Nutrition: Ages 3 to 17 | 2,022 | Medicaid & CHIP | Administrative | 3.0 | 43 | 63.6 | 36.7 | 74.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Physical Activity: Ages 3 to 17 | 2,022 | Medicaid & CHIP | Administrative | 7.7 | 43 | 58.4 | 35.5 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life | 2,022 | Medicaid & CHIP | Administrative | 30.1 | 48 | 57.5 | 51.3 | 61 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Alaska | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life | 2,022 | Medicaid & CHIP | Administrative | 36.5 | 48 | 65.1 | 60.4 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS population. There is some underreporting due to timely filing lag. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Ages 13 to 17 | FUA-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Alcohol and Other Drug Abuse or Dependence with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17 | 2,022 | Medicaid & CHIP | Administrative | 10.6 | 25 | 10.6 | 6 | 16.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (12 MCOs). Rate was audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 72.2 | 40 | 54.6 | 46.2 | 65.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 83.0 | 40 | 72.7 | 63.6 | 76.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 72.0 | 48 | 47.9 | 40.1 | 57.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 86.5 | 48 | 70.4 | 62.1 | 79.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with 1 Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid & CHIP | Administrative | 58.9 | 50 | 43 | 36.4 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with at Least 2 Follow-Up Visits in the 9 Months Following the Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid & CHIP | Administrative | 70.3 | 49 | 54.1 | 45.1 | 59.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 54.4 | 45 | 52.4 | 47.6 | 58.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 41.0 | 45 | 35.3 | 28.6 | 41.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose and Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 40.3 | 46 | 33.2 | 27.3 | 41.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Behavioral Health Care | Child Core Set | Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APP-CH | Higher rates are better for this measure | Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 67.4 | 47 | 62.6 | 58.6 | 67.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (12 MCOs). Rate was audited or validated. | Yes |
Arizona | Care of Acute and Chronic Conditions | Child Core Set | Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19 | AMB-CH | Lower rates are better for this measure | Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19 | 2,022 | Medicaid & CHIP | Administrative | 27.7 | 46 | 31.9 | 36.2 | 26 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (15 MCOs). Rate was audited or validated. | Yes |
Arizona | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11 | 2,022 | Medicaid & CHIP | Administrative | 76.9 | 47 | 77.3 | 73.2 | 80.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (15 MCOs). Rates were audited or validated. | Yes |
Arizona | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18 | 2,022 | Medicaid & CHIP | Administrative | 69.6 | 47 | 68.8 | 64.8 | 72.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (15 MCOs). Rates were audited or validated. | Yes |
Arizona | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18 | 2,022 | Medicaid & CHIP | Administrative | 73.0 | 48 | 73.1 | 68.1 | 76.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (15 MCOs). Rates were audited or validated. | Yes |
Arizona | Dental and Oral Health Services | Child Core Set | Oral Evaluation, Dental Services: Ages <1 through 20 | OEV-CH | Higher rates are better for this measure | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | 2,022 | Medicaid & CHIP | Administrative | 44.8 | 27 | 43.2 | 37.1 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (15 MCOs). Rate was audited or validated. | Yes |
Arizona | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthdate | 2,022 | Medicaid & CHIP | Administrative | 57.3 | 30 | 46.4 | 38.4 | 57.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received Sealants on All Four Permanent First Molars by their 10th Birthdate | 2,022 | Medicaid & CHIP | Administrative | 37.8 | 30 | 32.9 | 23.6 | 40 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. | Yes |
Arizona | Dental and Oral Health Services | Child Core Set | Topical Fluoride for Children: Ages 1 through 20 | TFL-CH | Higher rates are better for this measure | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | 2,022 | Medicaid & CHIP | Administrative | 18.2 | 25 | 19.3 | 16.8 | 23.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (12 MCOs). Rate was audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 17.8 | 40 | 26.3 | 19.1 | 29.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (15 MCOs). Rates were audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 2.8 | 40 | 3.4 | 2.7 | 4.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (15 MCOs). Rates were audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 2.8 | 34 | 5.7 | 3.8 | 8.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (14 MCOs). Rates were audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 32.7 | 40 | 39.4 | 34.1 | 44.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (14 MCOs). Rates were audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 1.3 | 30 | 3.1 | 1.6 | 4.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (14 MCOs). Rates were audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 11.9 | 40 | 15.3 | 12.1 | 18 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (14 MCOs). Rates were audited or validated. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Live Births Weighing Less Than 2,500 Grams | LBW-CH | Lower rates are better for this measure | Percentage of Live Births that Weighed Less Than 2,500 Grams | 2,022 | Medicaid only | Administrative | 8.8 | 52 | 10.1 | 11.1 | 9.2 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Low-Risk Cesarean Delivery | LRCD-CH | Lower rates are better for this measure | Percentage of Nulliparous, Term, Singleton, in a Cephalic Presentation Births Delivered by Cesarean | 2,022 | Medicaid only | Administrative | 21.1 | 52 | 24.7 | 26.9 | 22.5 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
Arizona | Maternal and Perinatal Health | Child Core Set | Prenatal and Postpartum Care: Timeliness of Prenatal Care | PPC-CH | Higher rates are better for this measure | Percentage of Women Delivering a Live Birth with a Prenatal Care Visit in the First Trimester, on or before the enrollment start date, or within 42 Days of Enrollment in Medicaid or CHIP | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 79.3 | 47 | 81.5 | 75.2 | 87.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rate was derived using both administrative and hybrid method data. Ten of 14 MCOs calculated the measure using hybrid methodology; all MCOs were enco... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 11 | 2,022 | Medicaid & CHIP | Administrative | 52.8 | 49 | 54.2 | 49.8 | 60.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 12 to 17 | 2,022 | Medicaid & CHIP | Administrative | 45.6 | 49 | 49 | 43.4 | 55.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 18 to 21 | 2,022 | Medicaid & CHIP | Administrative | 21.6 | 49 | 22.5 | 19.9 | 30.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Child and Adolescent Well-Care Visits: Ages 3 to 21 | WCV-CH | Higher rates are better for this measure | Percentage with at Least 1 Well-Care Visit with a Primary Care Practitioner or Obstetrician/Gynecologist: Ages 3 to 21 | 2,022 | Medicaid & CHIP | Administrative | 45.0 | 50 | 47.6 | 42.6 | 54.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage who had a Measles, Mumps, and Rubella (MMR) Vaccination by their Second Birthday | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 80.6 | 46 | 82 | 78.4 | 84.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Administrative data sources are claims/encounters and state immunization registry. The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method dat... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage who had at Least Two Flu Vaccinations by their Second Birthday | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 41.2 | 46 | 45.7 | 37.1 | 52.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Administrative data sources are claims/encounters and state immunization registry. The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method dat... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage Up to Date on Immunizations (Combination 3) by their Second Birthday | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 61.3 | 47 | 61.5 | 56.4 | 67.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Administrative data sources are claims/encounters and state immunization registry. The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method dat... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Childhood Immunization Status: Age 2 | CIS-CH | Higher rates are better for this measure | Percentage Up to Date on Immunizations (Combination 10) by their Second Birthday | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 32.7 | 48 | 32.9 | 26.9 | 39.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Administrative data sources are claims/encounters and state immunization registry. The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method dat... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Chlamydia Screening in Women Ages 16 to 20 | CHL-CH | Higher rates are better for this measure | Percentage of Sexually Active Women Screened for Chlamydia: Ages 16 to 20 | 2,022 | Medicaid & CHIP | Administrative | 45.0 | 49 | 47.2 | 42.7 | 58.1 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (15 MCOs). Rate was audited or validated. | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Developmental Screening in the First Three Years of Life: Ages 0 to 3 | DEV-CH | Higher rates are better for this measure | Percentage Screened for Risk of Developmental, Behavioral, and Social Delays Using a Standardized Screening Tool: Ages 0 to 3 | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 39.8 | 37 | 34.7 | 27.3 | 51.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes managed care population (12 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rate was derived using both administrative and hybrid method data. Six of 12 MCOs calculated the measure using hybrid methodology; all MCOs were enco... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Completing the Human Papillomavirus (HPV) Vaccine Series by Their 13th Birthday | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 40.7 | 47 | 35 | 31.5 | 40.8 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Administrative data sources are claims/encounters and state immunization registry. The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method dat... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Immunizations for Adolescents: Age 13 | IMA-CH | Higher rates are better for this measure | Percentage Receiving Meningococcal Conjugate and Tdap Vaccines (Combination 1) by Their 13th Birthday | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 84.7 | 46 | 75.2 | 68.3 | 82.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Administrative data sources are claims/encounters and state immunization registry. The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method dat... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Body Mass Index Percentile Documentation: Ages 3 to 17 | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 63.9 | 44 | 71.9 | 59.1 | 81 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method data. Eight of 12 MCOs calculated the measure using hybrid methodology; all MCOs were ... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Nutrition: Ages 3 to 17 | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 48.7 | 43 | 63.6 | 36.7 | 74.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method data. Eight of 12 MCOs calculated the measure using hybrid methodology; all MCOs were ... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Ages 3 to 17 | WCC-CH | Higher rates are better for this measure | Counseling for Physical Activity: Ages 3 to 17 | 2,022 | Medicaid & CHIP | Administrative & Hybrid | 44.7 | 43 | 58.4 | 35.5 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Supplemental data sources." Rates were derived using both administrative and hybrid method data. Eight of 12 MCOs calculated the measure using hybrid methodology; all MCOs were ... | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 6 or More Well-Child Visits with a Primary Care Practitioner during the First 15 Months of Life | 2,022 | Medicaid & CHIP | Administrative | 56.8 | 48 | 57.5 | 51.3 | 61 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arizona | Primary Care Access and Preventive Care | Child Core Set | Well-Child Visits in the First 30 Months of Life | W30-CH | Higher rates are better for this measure | Percentage of Children who had 2 or More Well-Child Visits with a Primary Care Practitioner during the 15th to 30th Months of Life | 2,022 | Medicaid & CHIP | Administrative | 62.1 | 48 | 65.1 | 60.4 | 71.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include managed care population (12 MCOs). Rates were audited or validated. Additional provider types were included within the numerator to align with the state's delivery system. | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Ages 13 to 17 | FUA-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Alcohol and Other Drug Abuse or Dependence with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17 | 2,022 | Medicaid & CHIP | Administrative | DS | 25 | 10.6 | 6 | 16.3 | DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10. | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS, PCCM and managed care populations (3 MCOs). State reported that 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-M... | No |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 46.4 | 40 | 54.6 | 46.2 | 65.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up After Emergency Department Visit for Mental Illness: Ages 6 to 17 | FUM-CH | Higher rates are better for this measure | Percentage of Emergency Department (ED) Visits for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 62.9 | 40 | 72.7 | 63.6 | 76.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 7 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 45.4 | 48 | 47.9 | 40.1 | 57.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17 | FUH-CH | Higher rates are better for this measure | Percentage of Hospitalizations for Mental Illness or Intentional Self-Harm with a Follow-Up Visit Within 30 Days after Discharge: Ages 6 to 17 | 2,022 | Medicaid & CHIP | Administrative | 67.3 | 48 | 70.4 | 62.1 | 79.6 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with 1 Follow-Up Visit During the 30-Day Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid & CHIP | Administrative | 24.3 | 50 | 43 | 36.4 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication: Ages 6 to 12 | ADD-CH | Higher rates are better for this measure | Percentage Newly Prescribed ADHD Medication with at Least 2 Follow-Up Visits in the 9 Months Following the Initiation Phase: Ages 6 to 12 | 2,022 | Medicaid & CHIP | Administrative | 31.3 | 49 | 54.1 | 45.1 | 59.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 69.0 | 45 | 52.4 | 47.6 | 58.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 54.7 | 45 | 35.3 | 28.6 | 41.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Metabolic Monitoring for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APM-CH | Higher rates are better for this measure | Percentage on Antipsychotics who Received Blood Glucose and Cholesterol Testing: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 53.5 | 46 | 33.2 | 27.3 | 41.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Behavioral Health Care | Child Core Set | Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics: Ages 1 to 17 | APP-CH | Higher rates are better for this measure | Percentage who had a New Prescription for an Antipsychotic Medication and had Documentation of Psychosocial Care as First-Line Treatment: Ages 1 to 17 | 2,022 | Medicaid & CHIP | Administrative | 77.2 | 47 | 62.6 | 58.6 | 67.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS, PCCM and managed care populations (3 MCOs). State reported that the rate excludes the following populations: "For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rate was audited or validated. Calculation used e... | Yes |
Arkansas | Care of Acute and Chronic Conditions | Child Core Set | Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19 | AMB-CH | Lower rates are better for this measure | Emergency Department Visits per 1,000 Beneficiary Months: Ages 0 to 19 | 2,022 | Medicaid & CHIP | Administrative | 33.6 | 46 | 31.9 | 36.2 | 26 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS, PCCM and managed care populations (3 MCOs). Rate also includes "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that the rate excludes the following populations: "For continuous enrollment exclusions, calculation excluded eligibility segment... | Yes |
Arkansas | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 11 | 2,022 | Medicaid & CHIP | Administrative | 73.7 | 47 | 77.3 | 73.2 | 80.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 12 to 18 | 2,022 | Medicaid & CHIP | Administrative | 69.9 | 47 | 68.8 | 64.8 | 72.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Care of Acute and Chronic Conditions | Child Core Set | Asthma Medication Ratio: Ages 5 to 18 | AMR-CH | Higher rates are better for this measure | Percentage with Persistent Asthma who had a Ratio of Controller Medications to Total Asthma Medications of 0.50 or Greater: Ages 5 to 18 | 2,022 | Medicaid & CHIP | Administrative | 71.8 | 48 | 73.1 | 68.1 | 76.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Dental and Oral Health Services | Child Core Set | Oral Evaluation, Dental Services: Ages <1 through 20 | OEV-CH | Higher rates are better for this measure | Percentage of Enrolled Children Under Age 21 Who Received a Comprehensive or Periodic Oral Evaluation: Ages <1 through 20 | 2,022 | Medicaid & CHIP | Administrative | 49.4 | 27 | 43.2 | 37.1 | 49.4 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS, PCCM and managed care populations (3 MCOs). 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 aid ca... | Yes |
Arkansas | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received a Sealant on at Least One Permanent First Molar Tooth by their 10th Birthdate | 2,022 | Medicaid & CHIP | Administrative | 44.3 | 30 | 46.4 | 38.4 | 57.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Dental and Oral Health Services | Child Core Set | Sealant Receipt on Permanent First Molars: Age 10 | SFM-CH | Higher rates are better for this measure | Percentage of Children who Received Sealants on All Four Permanent First Molars by their 10th Birthdate | 2,022 | Medicaid & CHIP | Administrative | 28.8 | 30 | 32.9 | 23.6 | 40 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). State reported that rates exclude 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-M... | Yes |
Arkansas | Dental and Oral Health Services | Child Core Set | Topical Fluoride for Children: Ages 1 through 20 | TFL-CH | Higher rates are better for this measure | Percentage of Enrolled Children who Received at Least Two Topical Fluoride Applications as Dental or Oral Health Services: Total (Ages 1 through 20) | 2,022 | Medicaid & CHIP | Administrative | 22.7 | 25 | 19.3 | 16.8 | 23.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS, PCCM and managed care populations (3 MCOs). 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 aid c... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Most Effective or Moderately Effective Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 29.9 | 40 | 26.3 | 19.1 | 29.3 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). Rates also include "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: "Dual eligibles identified in the measurement year. Calculation excluded eligibilit... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: All Women Ages 15 to 20 | CCW-CH | Higher rates are better for this measure | Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 3.3 | 40 | 3.4 | 2.7 | 4.7 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). Rates also include "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: "Dual eligibles identified in the measurement year. Calculation excluded eligibilit... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 2.7 | 34 | 5.7 | 3.8 | 8.5 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). Rates also include "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: "Dual eligibles identified in the measurement year. For continuous enrollment exclu... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Most Effective or Moderately Effective Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 36.0 | 40 | 39.4 | 34.1 | 44.2 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). Rates also include "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: "Dual eligibles identified in the measurement year. For continuous enrollment exclu... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 3 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 0.8 | 30 | 3.1 | 1.6 | 4.9 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). Rates also include "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: "Dual eligibles identified in the measurement year. For continuous enrollment exclu... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Contraceptive Care: Postpartum Women Ages 15 to 20 | CCP-CH | Higher rates are better for this measure | Percentage of Postpartum Women Provided a Long-Acting Reversible Method of Contraception Within 60 Days of Delivery: Ages 15 to 20 | 2,022 | Medicaid & CHIP | Administrative | 11.0 | 40 | 15.3 | 12.1 | 18 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS, PCCM and managed care populations (3 MCOs). Rates also include "other" populations (Arkansas Works Medicaid Expansion and Medicare-Medicaid Dual Eligibles). State reported that rates exclude the following populations: "Dual eligibles identified in the measurement year. For continuous enrollment exclu... | Yes |
Arkansas | Maternal and Perinatal Health | Child Core Set | Live Births Weighing Less Than 2,500 Grams | LBW-CH | Lower rates are better for this measure | Percentage of Live Births that Weighed Less Than 2,500 Grams | 2,022 | Medicaid only | Administrative | 11.0 | 52 | 10.1 | 11.1 | 9.2 | null | Mathematica analysis of the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data as of February 2, 2023. | CMS calculated rate using CDC WONDER data. | Yes |
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