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Arkansas | 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 | 26.6 | 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 |
Arkansas | 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 | 48.9 | 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, 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 | 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 | 44.5 | 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, 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 | 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 | 13.7 | 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, 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 | 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 | 41.8 | 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, 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 | 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 | 82.7 | 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 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 | 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 | 32.0 | 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 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 | 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 | 56.4 | 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 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 | 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 | 23.5 | 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 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 | 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 | 47.2 | 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, 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: "Dual eligibles identified in the measurement year. For continuous enrollment e... | Yes |
Arkansas | 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 | 28.7 | 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, 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 | 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 | 85.3 | 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, 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 | 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 | 45.8 | 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 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 | 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 | 50.1 | 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 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 |
California | 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 | 9.0 | 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 FFS and managed care populations (25 MCOs). Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 63.4 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 75.4 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 73.6 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 86.1 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 49.4 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 59.7 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 59.9 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 41.9 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 41.5 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 70.7 | 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 and managed care populations (25 MCOs). Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 23.8 | 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 and managed care populations (25 MCOs). Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 76.4 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 70.1 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 73.2 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 37.1 | 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 and managed care populations (6 MCOs). Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 42.4 | 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 and managed care populations (6 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 35.2 | 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 and managed care populations (6 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 16.8 | 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 (6 MCOs). Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 14.5 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 2.3 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 4.8 | 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 FFS and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 33.6 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 2.9 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 13.2 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rates are provisional. Rates were audited or validated. | Yes |
California | 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 |
California | 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 | 23.2 | 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 |
California | 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 | 75.2 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan for Kaiser North and South reported administratively." Rate was derived using both administrative and hybrid method data. Denominator is the measure-e... | Yes |
California | 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 | 58.9 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 55.3 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 37.1 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 53.6 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 81.8 | 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 FFS and managed care populations (25 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: "Managed Care plan for Kaiser North and South as well as Blue Shield of California Pro... | Yes |
California | 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 | 46.7 | 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 FFS and managed care populations (25 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: "Managed Care plan for Kaiser North and South as well as Blue Shield of California Pro... | Yes |
California | 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 | NR | 47 | 61.5 | 56.4 | 67.6 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rates include FFS and managed care populations (25 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: "Managed Care plan for Kaiser North and South as well as Blue Shield of California Pro... | No |
California | 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 | 34.8 | 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 FFS and managed care populations (25 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: "Managed Care plan for Kaiser North and South as well as Blue Shield of California Pro... | Yes |
California | 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 | 59.5 | 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 and managed care populations (25 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed care plan administrative data." Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 29.8 | 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 FFS and managed care populations (25 MCOs). Rate is provisional. Rate was audited or validated. | Yes |
California | 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 | 40.6 | 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. | Rate includes FFS and managed care populations (25 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: "Managed care plan administrative data. Managed care plan for Kaiser North and South, ... | Yes |
California | 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 | NR | 46 | 75.2 | 68.3 | 82.5 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | Rate includes FFS and managed care populations (25 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: "Managed care plan administrative data. Managed care plan for Kaiser North and South, ... | No |
California | 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 | Hybrid | 86.4 | 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 (25 MCOs). State reported that rates exclude the following populations: "2.7% of Medicaid/CHIP populations who remained in FFS benefits for 11 out of 12 months." The state described the "other" data sources used to calculate the measure as the following: "Managed care plan for Kais... | Yes |
California | 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 | Hybrid | 80.8 | 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 (25 MCOs). State reported that rates exclude the following populations: "2.7% of Medicaid/CHIP populations who remained in FFS benefits for 11 out of 12 months." The state described the "other" data sources used to calculate the measure as the following: "Managed care plan for Kais... | Yes |
California | 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 | Hybrid | 80.2 | 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 (25 MCOs). State reported that rates exclude the following populations: "2.7% of Medicaid/CHIP populations who remained in FFS benefits for 11 out of 12 months." The state described the "other" data sources used to calculate the measure as the following: "Managed care plan for Kais... | Yes |
California | 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 | 36.8 | 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 FFS and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
California | 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 | 62.4 | 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 and managed care populations (25 MCOs). Rates are provisional. Rates were audited or validated. | Yes |
Colorado | 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 only | NR | NR | 48 | 47.9 | 40.1 | 57.5 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 only | NR | NR | 48 | 70.4 | 62.1 | 79.6 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 | CHIP only | Administrative | 39.8 | 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. | CHIP rates include managed care population (5 MCOs). | Yes |
Colorado | 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 | CHIP only | Administrative | 56.2 | 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. | CHIP rates include managed care population (5 MCOs). | Yes |
Colorado | 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 only | NR | NR | 50 | 43 | 36.4 | 49.4 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 only | NR | NR | 49 | 54.1 | 45.1 | 59.5 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 | CHIP only | Administrative | 32.0 | 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. | CHIP rates include managed care population (5 MCOs). | Yes |
Colorado | 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 | CHIP only | Administrative | 43.8 | 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. | CHIP rates include managed care population (5 MCOs). | Yes |
Colorado | 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 only | Administrative | 49.3 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 26.3 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 25.0 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 | CHIP only | Administrative | 54.9 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 34.0 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 33.5 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 only | NR | NR | 47 | 62.6 | 58.6 | 67.2 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 | CHIP only | Administrative | 59.4 | 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. | CHIP rate includes managed care population (5 MCOs). | Yes |
Colorado | 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 only | NR | NR | 46 | 31.9 | 36.2 | 26 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 | CHIP only | Administrative | 20.1 | 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. | CHIP rate includes managed care population (5 MCOs). | Yes |
Colorado | 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 only | Administrative | 56.9 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 46.6 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 51.5 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 | CHIP only | Administrative | 77.5 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 66.2 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 71.5 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 only | NR | NR | 30 | 46.4 | 38.4 | 57.3 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 only | NR | NR | 30 | 32.9 | 23.6 | 40 | NR = State did not report the measure for this population | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023. | null | No |
Colorado | 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 | CHIP only | Administrative | 24.5 | 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. | CHIP rates include managed care population (5 MCOs). | Yes |
Colorado | 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 | CHIP only | Administrative | 14.3 | 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. | CHIP rates include managed care population (5 MCOs). | Yes |
Colorado | 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 only | Administrative | 24.6 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 5.3 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 | CHIP only | Administrative | 28.6 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 6.0 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 only | Administrative | 4.2 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 36.9 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 2.4 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 only | Administrative | 17.9 | 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. | Medicaid rates include FFS and PCCM populations. | Yes |
Colorado | 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 | CHIP only | Administrative | 0.0 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 38.0 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 0.0 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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 | CHIP only | Administrative | 22.0 | 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. | CHIP rates include managed care population (5 MCOs). | No |
Colorado | 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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