State
stringclasses
52 values
Domain
stringclasses
6 values
Reporting Program
stringclasses
2 values
Measure Name
stringclasses
51 values
Measure Abbreviation
stringclasses
51 values
Measure Type
stringclasses
2 values
Rate Definition
stringclasses
93 values
FFY
int64
2.02k
2.02k
Population
stringclasses
10 values
Methodology
stringclasses
9 values
State Rate
stringlengths
1
6
Number of States Reporting
int64
25
52
Median
float64
0.98
94.5
Bottom Quartile
float64
0.9
89.8
Top Quartile
float64
0.9
96.7
Notes
stringclasses
4 values
Source
stringclasses
3 values
State-Specific Comments
stringlengths
29
1.01k
Rate Used in Calculating State Mean and Median
stringclasses
2 values
Delaware
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
Hybrid
91.4
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 (2 MCOs). State reported that the rate excludes the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management ...
Yes
Delaware
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
65.7
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
58.8
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
28.8
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
57.5
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
Hybrid
86.5
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." Administrative data source is state immunization registry. The state described the "other" data sources used to calculat...
Yes
Delaware
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
Hybrid
52.2
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." Administrative data source is state immunization registry. The state described the "other" data sources used to calculat...
Yes
Delaware
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
Hybrid
70.5
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." Administrative data source is state immunization registry. The state described the "other" data sources used to calculat...
Yes
Delaware
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
Hybrid
38.9
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." Administrative data source is state immunization registry. The state described the "other" data sources used to calculat...
Yes
Delaware
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
59.7
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 (2 MCOs). State reported that the rate excludes the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management ...
Yes
Delaware
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
Hybrid
82.5
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 managed care population (2 MCOs). State reported that the rate excludes the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management ...
Yes
Delaware
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
Hybrid
48.0
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." Administrative data source is state immunization registry. The state described the "other" data sources used to calculat...
Yes
Delaware
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
Hybrid
73.9
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." Administrative data source is state immunization registry. The state described the "other" data sources used to calculat...
Yes
Delaware
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
81.1
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
74.3
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
72.2
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
61.8
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Delaware
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
74.1
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 (2 MCOs). State reported that rates exclude the following populations: "The Fee-For-Service population is excluded, as the data source is not easily accessible." The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Management Syst...
Yes
Dist. of Col.
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
49.0
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 FFS and managed care populations (4 MCOs).
Yes
Dist. of Col.
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
68.8
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 (4 MCOs).
Yes
Dist. of Col.
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
37.5
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
56.8
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.
Rates include managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
44.0
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 managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
33.2
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
29.7
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
27.5
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 (4 MCOs). State reported that the rate excludes the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the...
Yes
Dist. of Col.
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
39.8
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 managed care population (4 MCOs). State reported that the rate excludes the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the...
Yes
Dist. of Col.
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
73.8
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
60.4
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
67.6
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
55.3
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 and managed care populations (4 MCOs). The state described the "other" data sources used to calculate the measure as the following: "DHCF reports this measure using MCO data only."
Yes
Dist. of Col.
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
42.1
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 (4 MCOs). The state described the "other" data sources used to calculate the measure as the following: "DHCF reports this measure using MCO data only."
Yes
Dist. of Col.
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
19.2
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
2.6
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
8.1
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
35.5
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
DS
30
3.1
1.6
4.9
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.
Rates include managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
No
Dist. of Col.
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
14.7
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
13.5
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
Dist. of Col.
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
28.5
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
Dist. of Col.
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
Hybrid
81.4
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 (4 MCOs). State reported that the rate excludes the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the...
Yes
Dist. of Col.
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
56.8
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
55.4
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
31.7
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 managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
52.6
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 managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
Hybrid
71.6
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." Administrative data source is state immunization registry. The state described the "o...
Yes
Dist. of Col.
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
Hybrid
31.7
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 managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." Administrative data source is state immunization registry. The state described the "o...
Yes
Dist. of Col.
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
Hybrid
42.6
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." Administrative data source is state immunization registry. The state described the "o...
Yes
Dist. of Col.
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
Hybrid
19.4
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." Administrative data source is state immunization registry. The state described the "o...
Yes
Dist. of Col.
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
71.9
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 (4 MCOs). State reported that the rate excludes the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the...
Yes
Dist. of Col.
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
22.8
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 (4 MCOs). State reported that the rate excludes the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the...
Yes
Dist. of Col.
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
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." Administrative data source is state immunization registry. The state described the "o...
Yes
Dist. of Col.
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
Hybrid
68.3
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 managed care population (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." Administrative data source is state immunization registry. The state described the "o...
Yes
Dist. of Col.
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
73.1
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
72.2
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
69.9
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
28.2
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Dist. of Col.
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
52.1
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 (4 MCOs). State reported that rates exclude the following populations: "The FFS population is excluded from this measure. Only data on the managed care population were available for this measure." The state described the "other" data sources used to calculate the measure as the fol...
Yes
Florida
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
3.6
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 FFS and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated.
Yes
Florida
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
38.0
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
54.6
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
34.3
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
56.4
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
43.9
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 FFS and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data reported by the health plans." Rates were audited or validated.
Yes
Florida
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data reported by the health plans." Rates were audited or validated.
Yes
Florida
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
51.3
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.
Rates include FFS and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
36.6
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
34.7
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
60.6
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated.
Yes
Florida
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
41.5
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data reported by the health plans." Rate was audited or validated.
Yes
Florida
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
81.5
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.
Rates include FFS and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
72.8
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
77.6
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
35.6
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 and managed care populations (6 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated.
Yes
Florida
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
38.4
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). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
25.0
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). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
22.1
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 and managed care populations (6 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated.
Yes
Florida
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
16.9
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 and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
1.7
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
2.0
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.
Medicaid rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
30.9
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 managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
0.7
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.
Medicaid rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
8.0
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.
Medicaid rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
10.6
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
Florida
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
27.3
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
Florida
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
76.3
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 FFS and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was derived using both administrative and hybrid method data. Fee-For-Service, managed care, and Children's Medical Services H...
Yes
Florida
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
62.6
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
53.9
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
27.0
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
54.5
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated.
Yes
Florida
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
NR
46
82
78.4
84.9
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 (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: "Data submitted by the health plans." Rates were derived using both administrative and...
No
Florida
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
NR
46
45.7
37.1
52.2
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.
Rates include FFS and managed care populations (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: "Data submitted by the health plans." Rates were derived using both administrative and...
No
Florida
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
68.8
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 and managed care populations (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: "Data submitted by the health plans." Rates were derived using both administrative and...
Yes
Florida
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
31.6
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 (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: "Data submitted by the health plans." Rates were derived using both administrative and...
Yes
Florida
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
58.3
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 (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rate was audited or validated.
Yes
Florida
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
Hybrid
27.9
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 (12 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Denominator is the sample size; measure-eligible population is 334,302. Rate was audited or validated.
Yes
Florida
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
40.3
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 and managed care populations (17 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: "Data submitted by the health plans." Rates were derived using both administrative and...
Yes
Florida
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
73.4
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 and managed care populations (17 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: "Data submitted by the health plans." Rates were derived using both administrative and...
Yes
Florida
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
83.9
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 FFS and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: " Data submitted by the health plans." Rates were derived using both administrative and hybrid method data. Fee-For-Service, MediKids, Children's Medical Services Health...
Yes
Florida
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
79.9
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 and managed care populations (17 MCOs). The state described the "other" data sources used to calculate the measure as the following: " Data submitted by the health plans." Rates were derived using both administrative and hybrid method data. Fee-For-Service, MediKids, Children's Medical Services Health...
Yes