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id
int64
measure_id
string
state_abbreviation
string
strat_tier1_label
string
strat_tier1_value
string
strat_tier1_order
float64
strat_tier2_label
string
strat_tier2_value
string
strat_tier2_order
float64
strat_tier3_label
float64
strat_tier3_value
float64
strat_tier3_order
float64
group_tier1_label
float64
group_tier1_value
float64
group_tier1_order
float64
cat_label
float64
cat_order
float64
cat_value
float64
data_period
int64
population
string
methodology
string
measure_value
float64
values_direction
string
value_type
string
value_type_is_default
bool
value_indicator
string
number_of_states_reporting
float64
median
float64
mean
float64
max_value
float64
min_value
float64
bottom_quartile
float64
top_quartile
float64
value_label
string
analysis_source
string
notes
string
notes_visualization
float64
default_multi
int64
default_single
int64
legend_order
float64
map_category
float64
value_order
int64
alt_bin1
float64
alt_bin2
float64
alt_bin3
float64
alt_bin4
float64
alt_bin5
float64
alt_bin6
float64
alt_bin_desc12
string
alt_bin_desc23
string
alt_bin_desc34
string
alt_bin_desc45
string
alt_bin_desc56
float64
decimal_places
int64
value_type_category
string
group_tier2_label
float64
group_tier2_value
float64
group_tier2_order
float64
stratifications_id
int64
0
HC.101
AL
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.179
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and PCCM populations. Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
1
HC.101
AL
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.397
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and PCCM populations. Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
2
HC.101
AL
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include FFS population. The state described the "other" data source used to calculate the measure as the following: "Separate CHIP claims data."
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
3
HC.101
AL
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include FFS population. The state described the "other" data source used to calculate the measure as the following: "Separate CHIP claims data."
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
4
HC.101
AK
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.255
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Administrative Services Organization Information System." State noted: "This measure analyzes a small target population; this results in high fluctuation in the rates from year to year. There might be some undercount due to timely filing lag."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
5
HC.101
AK
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.309
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Administrative Services Organization Information System." State noted: "This measure analyzes a small target population; this results in high fluctuation in the rates from year to year. There might be some undercount due to timely filing lag."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
6
HC.101
AZ
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.375
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (12 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
7
HC.101
AZ
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.486
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (12 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
8
HC.101
AR
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.176
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS, PCCM, and managed care populations (3 MCOs). State reported that rates exclude the following populations: "Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rates were audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had medical and chemical dependency benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. Mental Health providers in MMIS are identified by Provider Type and Specialty Codes."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
9
HC.101
AR
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.282
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS, PCCM, and managed care populations (3 MCOs). State reported that rates exclude the following populations: "Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rates were audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had medical and chemical dependency benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. Mental Health providers in MMIS are identified by Provider Type and Specialty Codes."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
10
HC.101
CA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.245
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
11
HC.101
CA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.322
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (25 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
12
HC.101
CO
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.228
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and managed care populations (2 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
13
HC.101
CO
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.313
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and managed care populations (2 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
14
HC.101
CO
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
0.268
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include managed care population (4 MCOs). Rates were audited or validated.
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
15
HC.101
CO
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
0.317
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include managed care population (4 MCOs). Rates were audited or validated.
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
16
HC.101
CT
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.329
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS population. Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
17
HC.101
CT
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.466
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS population. Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
18
HC.101
DE
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
19
HC.101
DE
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.316
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
20
HC.101
DC
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.416
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (4 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
21
HC.101
DC
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.536
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (4 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
22
HC.101
FL
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.158
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (16 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.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
23
HC.101
FL
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.261
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (16 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.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
24
HC.101
HI
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plans."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
25
HC.101
HI
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.211
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plans."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
26
HC.101
IL
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (6 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
27
HC.101
IL
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (6 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
28
HC.101
IN
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.195
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
29
HC.101
IN
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.308
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
30
HC.101
IA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.54
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
31
HC.101
IA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.621
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
32
HC.101
KS
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.247
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Reported Data." Rates are provisional.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
33
HC.101
KS
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.425
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Reported Data." Rates are provisional.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
34
HC.101
KY
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.253
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (6 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
35
HC.101
KY
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.412
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (6 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
36
HC.101
LA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.13
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
37
HC.101
LA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.228
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
38
HC.101
ME
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.361
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS, PCCM, and ICM populations. State reported the following deviations: "Results include only paid claims, deviating from measure specifications which call for inclusion of all paid, suspended, pending, and denied claims."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
39
HC.101
ME
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.472
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS, PCCM, and ICM populations. State reported the following deviations: "Results include only paid claims, deviating from measure specifications which call for inclusion of all paid, suspended, pending, and denied claims."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
40
HC.101
MD
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.333
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (9 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
41
HC.101
MD
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.485
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (9 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
42
HC.101
MA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.368
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include PCCM and managed care populations (15 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
43
HC.101
MA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.474
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include PCCM and managed care populations (15 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
44
HC.101
MN
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.254
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (9 MCOs). State noted: "Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
45
HC.101
MN
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.336
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (9 MCOs). State noted: "Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
46
HC.101
MS
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.179
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed Care Health Plan Reporting."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
47
HC.101
MS
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.254
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed Care Health Plan Reporting."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
48
HC.101
MO
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.211
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (4 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
49
HC.101
MO
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.293
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (4 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
50
HC.101
NE
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.238
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Claims Data."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
51
HC.101
NE
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.401
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Claims Data."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
52
HC.101
NV
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.227
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
53
HC.101
NV
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.28
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include managed care population (4 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
54
HC.101
NV
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
null
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Not Reported
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: None
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
55
HC.101
NV
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
null
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
Not Reported
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: None
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
56
HC.101
NH
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.306
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "FFS members were excluded. NH had 829 FFS members at the end of 2023." The state described the "other" data sources used to calculate the measure as the following: "The Managed Care Organization's data is from their claims system." Rates were audited or validated. State noted: "Submitted values were based on HEDIS data for reporting year 2023."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
57
HC.101
NH
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.419
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "FFS members were excluded. NH had 829 FFS members at the end of 2023." The state described the "other" data sources used to calculate the measure as the following: "The Managed Care Organization's data is from their claims system." Rates were audited or validated. State noted: "Submitted values were based on HEDIS data for reporting year 2023."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
58
HC.101
NJ
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.152
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HEDIS measurement year 2022 administrative collection method submitted by the MCOs." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
59
HC.101
NJ
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.226
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HEDIS measurement year 2022 administrative collection method submitted by the MCOs." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
60
HC.101
NM
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.189
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Audited HEDIS." Rates were audited or validated. State noted: "The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
61
HC.101
NM
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.31
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Audited HEDIS." Rates were audited or validated. State noted: "The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
62
HC.101
NY
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.26
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Billing Data." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
63
HC.101
NY
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.369
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Billing Data." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
64
HC.101
NC
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.198
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "The denominators for this measure contain NC Medicaid Payer data only."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
65
HC.101
NC
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.28
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "The denominators for this measure contain NC Medicaid Payer data only."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
66
HC.101
NC
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
0.321
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "North Carolina Health Choice Children includes ages 6 through 18. The denominator for this measure contains NC Medicaid Payer data only."
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
67
HC.101
NC
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
0.429
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "North Carolina Health Choice Children includes ages 6 through 18. The denominator for this measure contains NC Medicaid Payer data only."
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
68
HC.101
ND
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.21
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and PCCM populations.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
69
HC.101
ND
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.339
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and PCCM populations.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
70
HC.101
OH
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.317
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
71
HC.101
OH
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.489
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
72
HC.101
OK
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.11
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
73
HC.101
OK
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.159
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
74
HC.101
PA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.22
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by managed care plans and compiled by EQRO." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
75
HC.101
PA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.326
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by managed care plans and compiled by EQRO." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
76
HC.101
RI
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.283
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
77
HC.101
RI
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.517
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
78
HC.101
SC
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.226
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). State noted: "Population restricted to full Medicaid beneficiaries enrolled in MCO plan."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
79
HC.101
SC
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.338
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (5 MCOs). State noted: "Population restricted to full Medicaid beneficiaries enrolled in MCO plan."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
80
HC.101
SD
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS population.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
81
HC.101
SD
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.126
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS population.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
82
HC.101
TN
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.201
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
83
HC.101
TN
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.334
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (3 MCOs). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
84
HC.101
TX
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.151
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
85
HC.101
TX
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.266
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
86
HC.101
TX
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated.
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
87
HC.101
TX
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
Administrative
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
Data Suppressed
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: CHIP rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two data sources were used to calculate the quality of care indicators: member level enrollment information and member level health care claims/encounter data. The enrollment files contained information about the member's age, gender, the MCO, and program in which the member is enrolled per month. Member-level claims/encounter data contained CPT, ICD10-CM, and place of service codes, and other information necessary to calculate the quality of care indicators." Rates were audited or validated.
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
88
HC.101
VT
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.471
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
89
HC.101
VT
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.588
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
90
HC.101
VA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.233
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (6 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
91
HC.101
VA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.368
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS and managed care populations (6 MCOs).
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
92
HC.101
WA
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.233
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
93
HC.101
WA
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.355
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
94
HC.101
WV
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.162
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid 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 Medicaid Enterprise Data Solution (EDS)." Rates were audited or validated. The logic includes the following allowable adjustments: The criteria is based on Age as of ED visit but the age groups were defined by end of measurement period. State noted: "The State's Medicaid Enterprise Data Solution is NCQA Certified for FUA-CH."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
95
HC.101
WV
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid only
Administrative
0.263
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Medicaid 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 Medicaid Enterprise Data Solution (EDS)." Rates were audited or validated. The logic includes the following allowable adjustments: The criteria is based on Age as of ED visit but the age groups were defined by end of measurement period. State noted: "The State's Medicaid Enterprise Data Solution is NCQA Certified for FUA-CH."
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
96
HC.101
WV
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
null
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
Not Reported
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: None
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
97
HC.101
WV
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
CHIP only
null
null
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
Not Reported
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: None
null
0
0
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
98
HC.101
WI
Rate
7-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.225
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 7 Days of the ED Visit: Ages 13 to 17
true
percent
41
0.228
null
0.54
0.11
0.195
0.283
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
177
99
HC.101
WI
Rate
30-Day Follow-Up
1
null
null
null
null
null
null
null
null
null
null
null
null
2,023
Medicaid & CHIP
Administrative
0.337
higher
Percentage of Emergency Department (ED) Visits for Substance Use Disorder (SUD) or Drug Overdose with a Follow-Up Visit Within 30 Days of the ED Visit: Ages 13 to 17
true
percent
44
0.337
null
0.621
0.126
0.281
0.422
null
Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the 2023 Core Set as of May 16, 2024.
State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." Rates were audited or validated.
null
1
1
null
null
1
null
null
null
null
null
null
null
null
null
null
null
1
Rate
null
null
null
178
End of preview. Expand in Data Studio

CoreSet measure_value v3.0.5 (dev)

Description

This is a dataset created for the Medicaid Scorecard website (https://www.medicaid.gov/state-overviews/scorecard/index.html), and is not intended for use outside that application.

Dataset Details

  • Publisher: Centers for Medicare & Medicaid Services
  • Last Modified: 2025-03-13
  • Contact: Medicaid.gov ([email protected])

Source

Original data can be found at: https://healthdata.gov/d/hqzz-856g

Usage

You can load this dataset using:

from datasets import load_dataset
 dataset = load_dataset('HHS-Official/coreset-measurevalue-v305-dev')

License

This dataset is licensed under http://opendefinition.org/licenses/odc-odbl/

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