State
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52 values
Domain
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6 values
Reporting Program
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2 values
Measure Name
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51 values
Measure Abbreviation
stringclasses
51 values
Measure Type
stringclasses
2 values
Rate Definition
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93 values
FFY
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2.02k
2.02k
Population
stringclasses
10 values
Methodology
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9 values
State Rate
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1
6
Number of States Reporting
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25
52
Median
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0.98
94.5
Bottom Quartile
float64
0.9
89.8
Top Quartile
float64
0.9
96.7
Notes
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4 values
Source
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3 values
State-Specific Comments
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29
1.01k
Rate Used in Calculating State Mean and Median
stringclasses
2 values
Washington
Primary Care Access and Preventive Care
Adult Core Set
Cervical Cancer Screening: Ages 21 to 64
CCS-AD
Higher rates are better for this measure
Percentage of Women Screened for Cervical Cancer: Ages 21 to 64
2,022
Medicaid & CHIP
Administrative
47.0
46
51.4
44.6
58.3
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS, PCCM and managed care populations (5 MCOs).
Yes
Washington
Primary Care Access and Preventive Care
Adult Core Set
Chlamydia Screening in Women Ages 21 to 24
CHL-AD
Higher rates are better for this measure
Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24
2,022
Medicaid & CHIP
Administrative
55.1
46
55.9
52
64.1
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 (5 MCOs).
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and older
SAA-AD
Higher rates are better for this measure
Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and older
2,022
Medicaid & Dual Eligibles
Administrative
61.4
46
62.2
56.8
67.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Antidepressant Medication Management: Age 18 and Older
AMM-AD
Higher rates are better for this measure
Percentage Diagnosed with Major Depression who were Treated with and Remained on Antidepressant Medication for 12 Weeks: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
68.0
44
58.8
54.6
64
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Antidepressant Medication Management: Age 18 and Older
AMM-AD
Higher rates are better for this measure
Percentage Diagnosed with Major Depression who were Treated with and Remained on Antidepressant Medication for 6 Months: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
50.2
43
41.8
35.4
46.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Concurrent Use of Opioids and Benzodiazepines: Age 18 and older
COB-AD
Lower rates are better for this measure
Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
2.7
36
13.3
16
9.7
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviation: "Includes paid claims only."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64
SSD-AD
Higher rates are better for this measure
Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
76.0
46
77.1
74.2
78.5
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Age 18 and Older
FUA-AD
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 7 Days of the ED Visit: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
51.7
47
15.5
10.9
19.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Age 18 and Older
FUA-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
59.5
47
23.8
15.5
29
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older
FUM-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
3.5
48
38.9
29.2
52.6
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviation: "Includes paid claims only."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older
FUM-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
12.4
48
52.5
42.9
63.5
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviation: "Includes paid claims only."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older
FUH-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
15.0
46
33.9
28.6
43.3
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviation: "Includes paid claims only."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older
FUH-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
22.8
46
54.5
48.3
64.9
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviation: "Includes paid claims only."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
41.6
45
42.1
39.2
45.5
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
13.1
45
12.2
8.1
14.4
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Opioid Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
70.8
43
56.6
50.1
64.6
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Opioid Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
48.7
43
29.5
17.5
37.4
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
44.7
43
41.3
36.9
44.8
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
16.4
43
11
7.9
15.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol or Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
52.1
44
43.4
41
47.7
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol or Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
26.7
44
15.8
10.5
18.5
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." West Virginia Medicaid has an 1115 waiver targeting substance use disorder that began in calendar year 2018. Medication ...
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and older
MSC-AD
Higher rates are better for this measure
Percentage of Current Smokers and Tobacco Users Advised to Quit: Ages 18 to 64 Years
2,022
Medicaid
CAHPS 5.1H
73.1
27
72.6
64.6
74.4
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 (3 MCOs). Rates were audited or validated.
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and older
MSC-AD
Higher rates are better for this measure
Percentage of Current Smokers and Tobacco Users Discussed or Recommended Cessation Medications: Ages 18 to 64 Years
2,022
Medicaid
CAHPS 5.1H
49.7
27
49.9
46.1
57.7
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 (3 MCOs). Rates were audited or validated.
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Medical Assistance With Smoking and Tobacco Use Cessation: Age 18 and older
MSC-AD
Higher rates are better for this measure
Percentage of Current Smokers and Tobacco Users Discussed or Provided Other Cessation Strategies: Ages 18 to 64 Years
2,022
Medicaid
CAHPS 5.1H
44.9
27
44.2
40.5
49.3
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 (3 MCOs). Rates were audited or validated.
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older
OHD-AD
Lower rates are better for this measure
Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64 Years
2,022
Medicaid & Dual Eligibles
Administrative
9.8
32
6.7
9
3.2
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Behavioral Health Care
Adult Core Set
Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64
OUD-AD
Higher rates are better for this measure
Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
71.0
33
56.2
51.6
71
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 19 to 50
2,022
Medicaid
Administrative
33.8
45
57.8
53.8
63.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Rates were audited or validated.
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 51 to 64
2,022
Medicaid
Administrative
37.2
45
58
53.4
62.9
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Rates were audited or validated.
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 19 to 64
2,022
Medicaid
Administrative
34.7
45
57.9
53.1
62.4
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Rates were audited or validated.
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis: Age 18 and Older
AAB-AD
Higher rates are better for this measure
Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
38.3
34
43.3
40.1
54.4
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Comprehensive Diabetes Care: Hemoglobin A1c Poor Control (>9.0%): Ages 18 to 75
HPC-AD
Lower rates are better for this measure
Percentage with Diabetes (Type 1 or Type 2) who had Hemoglobin A1c in Poor Control (>9.0%): Ages 18 to 64
2,022
Medicaid
Hybrid
37.4
33
41.2
48.9
36.8
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "EQRO compilation of the State's three MCOs HEDIS reports. The three MCOs are NCQA certified for HEDIS reporting." Denominator is the sample size; measure-eligible population is 2...
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Controlling High Blood Pressure: Ages 18 to 85
CBP-AD
Higher rates are better for this measure
Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64
2,022
Medicaid
Hybrid
62.1
38
57.7
52.1
62.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Denominator is the sample size; measure-eligible population is 45,946. Rate was audited or validated.
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
Plan All-Cause Readmissions: Ages 18 to 64
PCR-AD
Lower rates are better for this measure
Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
0.8523
39
0.9752
1.1244
0.8998
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older
PQI01-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
12.8
38
17.2
21.8
13.6
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviations: "Members are included in the denominator if their age falls within the stated r...
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older
PQI05-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64
2,022
Medicaid & Dual Eligibles
Administrative
29.8
34
29.8
40.6
23.2
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviations: "Members are included in the denominator if their age falls within the stated r...
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
PQI 08: Heart Failure Admission Rate: Age 18 and Older
PQI08-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
21.8
34
23.9
33.4
17.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviations: "Members are included in the denominator if their age falls within the stated r...
Yes
West Virginia
Care of Acute and Chronic Conditions
Adult Core Set
PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39
PQI15-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Asthma per 100,000 Beneficiary Months: Ages 18 to 39
2,022
Medicaid & Dual Eligibles
Administrative
1.2
33
3.1
4.7
2.2
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." State reported the following deviations: "Members are included in the denominator if their age falls within the stated r...
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: All Women Ages 21 to 44
CCW-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
21.7
39
23.9
21.2
25.9
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: All Women Ages 21 to 44
CCW-AD
Higher rates are better for this measure
Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
2.9
39
4.3
3.5
5.8
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: Postpartum Women Ages 21 to 44
CCP-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
16.2
39
11.7
8.7
13.6
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: Postpartum Women Ages 21 to 44
CCP-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
43.0
39
38.6
34.1
41.3
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: Postpartum Women Ages 21 to 44
CCP-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
2.3
37
2.1
0.9
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: Postpartum Women Ages 21 to 44
CCP-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
8.5
39
11.7
9.1
13.9
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS."
Yes
West Virginia
Maternal and Perinatal Health
Adult Core Set
Prenatal and Postpartum Care: Postpartum Care
PPC-AD
Higher rates are better for this measure
Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery
2,022
Medicaid
Hybrid
75.3
44
75
65.1
78.6
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Denominator is the sample size; measure-eligible population is 7,981. Rate was audited or validated.
Yes
West Virginia
Primary Care Access and Preventive Care
Adult Core Set
Breast Cancer Screening: Ages 50 to 74
BCS-AD
Higher rates are better for this measure
Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64
2,022
Medicaid & Dual Eligibles
Administrative
40.6
46
48.8
43.6
54
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Data Warehouse, separate from the MMIS." The State's Data Warehouse vendor is certified by HEDIS for this measure. The logic includes the following allowable adj...
Yes
West Virginia
Primary Care Access and Preventive Care
Adult Core Set
Cervical Cancer Screening: Ages 21 to 64
CCS-AD
Higher rates are better for this measure
Percentage of Women Screened for Cervical Cancer: Ages 21 to 64
2,022
Medicaid
Hybrid
44.6
46
51.4
44.6
58.3
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Denominator is the sample size; measure-eligible population is 125,211. Rate was audited or validated.
Yes
West Virginia
Primary Care Access and Preventive Care
Adult Core Set
Chlamydia Screening in Women Ages 21 to 24
CHL-AD
Higher rates are better for this measure
Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24
2,022
Medicaid
Administrative
53.3
46
55.9
52
64.1
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 (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Claims Systems." Rate was audited or validated.
Yes
West Virginia
Primary Care Access and Preventive Care
Adult Core Set
Flu Vaccinations for Adults Ages 18 to 64
FVA-AD
Higher rates are better for this measure
Percentage who Received a Flu Vaccination: Ages 18 to 64
2,022
Medicaid
CAHPS 5.1H
32.3
28
40.5
35.4
46.4
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes managed care population (3 MCOs). Rate was audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Adherence to Antipsychotic Medications for Individuals with Schizophrenia: Age 18 and older
SAA-AD
Higher rates are better for this measure
Percentage with Schizophrenia or Schizoaffective Disorder who were Dispensed and Remained on Antipsychotic Medication for at Least 80 Percent of their Treatment Period: Age 18 and older
2,022
Medicaid & CHIP
Administrative
56.3
46
62.2
56.8
67.1
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Antidepressant Medication Management: Age 18 and Older
AMM-AD
Higher rates are better for this measure
Percentage Diagnosed with Major Depression who were Treated with and Remained on Antidepressant Medication for 12 Weeks: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
72.0
44
58.8
54.6
64
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Antidepressant Medication Management: Age 18 and Older
AMM-AD
Higher rates are better for this measure
Percentage Diagnosed with Major Depression who were Treated with and Remained on Antidepressant Medication for 6 Months: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
53.5
43
41.8
35.4
46.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications: Ages 18 to 64
SSD-AD
Higher rates are better for this measure
Percentage with Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder who were Dispensed an Antipsychotic Medication and had a Diabetes Screening Test: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative
75.8
46
77.1
74.2
78.5
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Age 18 and Older
FUA-AD
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 7 Days of the ED Visit: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative
17.4
47
15.5
10.9
19.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Age 18 and Older
FUA-AD
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 18 to 64
2,022
Medicaid & CHIP
Administrative
26.9
47
23.8
15.5
29
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older
FUM-AD
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 18 to 64
2,022
Medicaid & CHIP
Administrative
39.0
48
38.9
29.2
52.6
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older
FUM-AD
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 18 to 64
2,022
Medicaid & CHIP
Administrative
52.1
48
52.5
42.9
63.5
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older
FUH-AD
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 18 to 64
2,022
Medicaid & CHIP
Administrative
40.4
46
33.9
28.6
43.3
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older
FUH-AD
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 18 to 64
2,022
Medicaid & CHIP
Administrative
59.2
46
54.5
48.3
64.9
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
40.9
45
42.1
39.2
45.5
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
13.3
45
12.2
8.1
14.4
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Opioid Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
60.4
43
56.6
50.1
64.6
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Opioid Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
38.0
43
29.5
17.5
37.4
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
38.1
43
41.3
36.9
44.8
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
9.7
43
11
7.9
15.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol or Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
41.9
44
43.4
41
47.7
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Behavioral Health Care
Adult Core Set
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older
IET-AD
Higher rates are better for this measure
Percentage with a New Episode of Alcohol or Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
15.7
44
15.8
10.5
18.5
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 19 to 50
2,022
Medicaid & CHIP
Administrative
59.0
45
57.8
53.8
63.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 51 to 64
2,022
Medicaid & CHIP
Administrative
65.1
45
58
53.4
62.9
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 19 to 64
2,022
Medicaid & CHIP
Administrative
60.2
45
57.9
53.1
62.4
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Care of Acute and Chronic Conditions
Adult Core Set
Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis: Age 18 and Older
AAB-AD
Higher rates are better for this measure
Percentage of Episodes for Beneficiaries with a Diagnosis of Acute Bronchitis/Bronchiolitis that did not Result in an Antibiotic Dispensing Event: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative
56.1
34
43.3
40.1
54.4
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was audited or validated.
Yes
Wisconsin
Care of Acute and Chronic Conditions
Adult Core Set
Controlling High Blood Pressure: Ages 18 to 85
CBP-AD
Higher rates are better for this measure
Percentage who had a Diagnosis of Hypertension and Whose Blood Pressure was Adequately Controlled: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative, Electronic Health Records, & Hybrid
59.0
38
57.7
52.1
62.1
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was derived using administrative data, hybrid method data, and EHR data. The measure-eligible population is not available. Rate was audited or validated.
Yes
Wisconsin
Care of Acute and Chronic Conditions
Adult Core Set
Plan All-Cause Readmissions: Ages 18 to 64
PCR-AD
Lower rates are better for this measure
Ratio of Observed All-Cause Readmissions to Expected Readmissions: Ages 18 to 64
2,022
Medicaid & CHIP
Administrative
0.9547
39
0.9752
1.1244
0.8998
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rates were audited or validated.
Yes
Wisconsin
Long-Term Services and Supports
Adult Core Set
National Core Indicators Survey: Age 18 and Older
NCIDDS-AD
Higher rates are better for this measure
Percentage of Adults who Reported They Decided or Had Help Deciding Their Daily Schedule, How to Spend Money, and How to Spend Free Time
2,022
Medicaid
NCI In-Person Survey
84.9
27
90.7
89.1
94.4
null
Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2021 to Ju...
Rates include Family Care Waiver, Partnership, and Include, Respect, I Self-Direct (IRIS) enrollees. Funding sources include 1915(c) waivers, a combination 1915(b)/(c) waiver, a 1915(j) state plan option, and 1932(a) state plan funding. Denominator is the number of enrollees who responded to the questions. Total number...
Yes
Wisconsin
Long-Term Services and Supports
Adult Core Set
National Core Indicators Survey: Age 18 and Older
NCIDDS-AD
Higher rates are better for this measure
Percentage of Adults who Reported They Always Have a Way to Get Places When They Need to go Somewhere
2,022
Medicaid
NCI In-Person Survey
88.5
27
94.5
89.8
96.7
null
Mathematica analysis of National Core Indicators (NCI) data submitted by states to the National Association of State Directors of Developmental Disabilities Services (NASDDDS) and the Human Services Research Institute (HSRI) (The NCI National Team) through the Online Data Entry System (ODESA) for the July 1, 2021 to Ju...
Rates include Family Care Waiver, Partnership, and Include, Respect, I Self-Direct (IRIS) enrollees. Funding sources include 1915(c) waivers, a combination 1915(b)/(c) waiver, a 1915(j) state plan option, and 1932(a) state plan funding. Denominator is the number of enrollees who responded to the questions. Total number...
Yes
Wisconsin
Maternal and Perinatal Health
Adult Core Set
Prenatal and Postpartum Care: Postpartum Care
PPC-AD
Higher rates are better for this measure
Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery
2,022
Medicaid & CHIP
Administrative & Hybrid
78.2
44
75
65.1
78.6
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated. State uses s...
Yes
Wisconsin
Primary Care Access and Preventive Care
Adult Core Set
Breast Cancer Screening: Ages 50 to 74
BCS-AD
Higher rates are better for this measure
Percentage of Women who had a Mammogram to Screen for Breast Cancer: Ages 50 to 64
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
53.8
46
48.8
43.6
54
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes managed care population (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was audited or validated.
Yes
Wisconsin
Primary Care Access and Preventive Care
Adult Core Set
Cervical Cancer Screening: Ages 21 to 64
CCS-AD
Higher rates are better for this measure
Percentage of Women Screened for Cervical Cancer: Ages 21 to 64
2,022
Medicaid & CHIP
Administrative & Hybrid
63.4
46
51.4
44.6
58.3
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was derived using both administrative and hybrid method data. Denominator is the measure-eligible population. Rate was audited or validated. State uses s...
Yes
Wisconsin
Primary Care Access and Preventive Care
Adult Core Set
Chlamydia Screening in Women Ages 21 to 24
CHL-AD
Higher rates are better for this measure
Percentage of Sexually Active Women Screened for Chlamydia: Ages 21 to 24
2,022
Medicaid & CHIP
Administrative & Electronic Health Records
59.5
46
55.9
52
64.1
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 (14 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HMO Claim System." Rate was audited or validated.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Antidepressant Medication Management: Age 18 and Older
AMM-AD
Higher rates are better for this measure
Percentage Diagnosed with Major Depression who were Treated with and Remained on Antidepressant Medication for 12 Weeks: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
46.0
44
58.8
54.6
64
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Antidepressant Medication Management: Age 18 and Older
AMM-AD
Higher rates are better for this measure
Percentage Diagnosed with Major Depression who were Treated with and Remained on Antidepressant Medication for 6 Months: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
18.9
43
41.8
35.4
46.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Concurrent Use of Opioids and Benzodiazepines: Age 18 and older
COB-AD
Lower rates are better for this measure
Percentage with Concurrent Use of Prescription Opioids and Benzodiazepines: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
1.0
36
13.3
16
9.7
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Age 18 and Older
FUA-AD
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 7 Days of the ED Visit: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
13.5
47
15.5
10.9
19.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence: Age 18 and Older
FUA-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
23.7
47
23.8
15.5
29
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older
FUM-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
32.6
48
38.9
29.2
52.6
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older
FUM-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
52.0
48
52.5
42.9
63.5
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older
FUH-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
36.2
46
33.9
28.6
43.3
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Follow-Up After Hospitalization for Mental Illness: Age 18 and Older
FUH-AD
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 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
63.8
46
54.5
48.3
64.9
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older
OHD-AD
Lower rates are better for this measure
Percentage of Adults Without Cancer who Received Prescriptions for Opioids with an Average Daily Dosage Greater than or Equal to 90 Morphine Milligram Equivalents (MME) for a Period of 90 Days or More: Ages 18 to 64 Years
2,022
Medicaid & Dual Eligibles
Administrative
19.8
32
6.7
9
3.2
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
Yes
Wyoming
Behavioral Health Care
Adult Core Set
Use of Pharmacotherapy for Opioid Use Disorder: Ages 18 to 64
OUD-AD
Higher rates are better for this measure
Percentage with an Opioid Use Disorder who Filled a Prescription for or were Administered or Dispensed an FDA-Approved Medication for the Disorder: Total Rate: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
34.0
33
56.2
51.6
71
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 19 to 50
2,022
Medicaid & Dual Eligibles
Administrative
29.5
45
57.8
53.8
63.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 51 to 64
2,022
Medicaid & Dual Eligibles
Administrative
45.0
45
58
53.4
62.9
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
Asthma Medication Ratio: Ages 19 to 64
AMR-AD
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 19 to 64
2,022
Medicaid & Dual Eligibles
Administrative
33.5
45
57.9
53.1
62.4
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older
PQI01-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Diabetes Short-Term Complications per 100,000 Beneficiary Months: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
14.3
38
17.2
21.8
13.6
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
PQI 05: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate: Age 40 and Older
PQI05-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Chronic Obstructive Pulmonary Disease (COPD) or Asthma per 100,000 Beneficiary Months: Ages 40 to 64
2,022
Medicaid & Dual Eligibles
Administrative
21.5
34
29.8
40.6
23.2
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
PQI 08: Heart Failure Admission Rate: Age 18 and Older
PQI08-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Heart Failure per 100,000 Beneficiary Months: Ages 18 to 64
2,022
Medicaid & Dual Eligibles
Administrative
5.2
34
23.9
33.4
17.1
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
Yes
Wyoming
Care of Acute and Chronic Conditions
Adult Core Set
PQI 15: Asthma in Younger Adults Admission Rate: Ages 18 to 39
PQI15-AD
Lower rates are better for this measure
Inpatient Hospital Admissions for Asthma per 100,000 Beneficiary Months: Ages 18 to 39
2,022
Medicaid & Dual Eligibles
Administrative
DS
33
3.1
4.7
2.2
DS = Data suppressed because data cannot be displayed per the Centers for Medicare & Medicaid Services' cell-size suppression policy, which prohibits the direct reporting of data for beneficiary and record counts of 1 to 10 and values from which users can derive values of 1 to 10.
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rate includes FFS population.
No
Wyoming
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: All Women Ages 21 to 44
CCW-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
15.7
39
23.9
21.2
25.9
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: All Women Ages 21 to 44
CCW-AD
Higher rates are better for this measure
Percentage of Women at Risk for Unintended Pregnancy Provided a Long-Acting Reversible Method of Contraception: Ages 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
6.0
39
4.3
3.5
5.8
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: Postpartum Women Ages 21 to 44
CCP-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
13.6
39
11.7
8.7
13.6
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes
Wyoming
Maternal and Perinatal Health
Adult Core Set
Contraceptive Care: Postpartum Women Ages 21 to 44
CCP-AD
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 21 to 44
2,022
Medicaid & Dual Eligibles
Administrative
22.4
39
38.6
34.1
41.3
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2022 reporting cycle as of June 1, 2023.
Rates include FFS population.
Yes